What is rotation, and how does it work in Georgia CCSP?
Rotation is how Georgia CCSP care coordinators choose an agency when a client has no preference. The care plan notes that rotation was used, and the coordination team assigns an agency. Clients can still choose their own agency when they enter the program, change agencies, or add a service.
In Georgia’s Community Care Services Program, the registered nurse care coordinator offers the client a choice of agencies when the client enters the program, changes agencies, or adds a service. If the client has no preference, the care plan records that rotation is the selection method, and the care coordination team assigns an agency.
Here is what that means for you:
- You must be enrolled for the service in the county to be in the mix. The state manual lists enrollment as a factor in agency choice.
- A client’s choice or a doctor’s recommendation comes before rotation.
- You cannot buy your way into rotation. Do not offer gifts or payments to coordinators or referral sources, because that can break federal law (see our answer on kickbacks).
- Answering fast and taking the case when called is how you stay in the mix.
- The manual sets short clocks for coordinators: brokering services for a new client within 3 business days after the level of care is assigned, emergencies within 24 hours, and the referral packet to the agency within 24 hours of brokering.
How rotation is run day to day can differ by region. Ask your regional office how it works in your area.
Sources
- CCSP Care Coordination (provider choice and standards of promptness) · Georgia Division of Aging Services
Reviewed by Beth Bledsoe, Care Business Advisor®, 28 Oct 2026. Rules change. Confirm with your state Medicaid agency before you act.
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