Georgia-specific: the Private Home Care Provider license from DCH, GAMMIS provider enrollment, CCSP and SOURCE waiver enrollment, NetSmart/Tellus EVV, and the credential requirements Georgia surveys for from the first year. Named programs, named portals, named steps — not generic advice that applies to no state in particular.
GAPP (Georgia Aged and Physically Disabled) is the program category under which Georgia administers Medicaid home and community-based services for elderly individuals and adults with physical disabilities — encompassing the Community Care Services Program (CCSP), Georgia's primary HCBS waiver for personal care services, and related programs. GAMMIS (Georgia Medicaid Management Information System) is Georgia's Medicaid billing portal through which all Georgia home care agencies submit claims and manage provider enrollment — operated by the Georgia Department of Community Health (DCH) at mmis.georgia.gov. DCH (Georgia Department of Community Health) is the state agency that issues the Private Home Care Provider license, conducts licensing surveys, and oversees Medicaid program administration. These three named entities — GAPP, GAMMIS, and DCH — define the regulatory and billing framework for every Medicaid home care agency operating in Georgia.
Georgia's primary Medicaid HCBS waiver for elderly and physically disabled adults who meet the nursing facility level of care criteria. Provides personal care, homemaker services, adult day health, emergency response, and community supports. CCSP clients are referred by case managers employed by the Area Agencies on Aging (AAAs). This is the waiver most new GAPP-enrolled agencies begin serving first.
Georgia's Medicaid HCBS program for medically complex individuals who benefit from coordinated case management integrated with community services. SOURCE provides a more intensive case management model than CCSP. SOURCE clients typically require closer coordination between home care, medical providers, and the MCO care team. Separate waiver enrollment from CCSP.
The DCH-issued license required to provide personal care services — assistance with activities of daily living — in clients' homes in Georgia. Required before GAMMIS enrollment. Required before CCSP/SOURCE waiver provider approval. The DCH conducts an initial survey before issuing this license. Processing: typically 60–90 days after a complete application is submitted to DCH.
Register with the Georgia Secretary of State Corporations Division at ecorp.sos.ga.gov. Georgia LLC formation fee: $100 online. EIN from IRS at irs.gov/ein — same day online. Dedicated business bank account before first expense.
Private Home Care Provider application to Georgia DCH. Requires general liability and professional liability insurance, background checks for owner and administrator, qualified administrator designation, and written policy and procedure manual covering DCH-required content areas.
Apply at nppes.cms.hhs.gov. For Georgia personal care agencies, taxonomy code 251E00000X (Home Health) is most commonly required. Verify required taxonomy with DCH and applicable MCOs before GAMMIS enrollment — incorrect taxonomy delays processing.
Apply at mmis.georgia.gov. Requires active PHCP license, NPI with correct taxonomy, EIN, proof of insurance, and bank account for EFT payments. GAMMIS assigns your Georgia Medicaid provider number — required for all GAMMIS claim submissions.
Waiver enrollment is separate from GAMMIS enrollment. Contact the Georgia Division of Aging Services and the Area Agency on Aging serving your county for CCSP provider enrollment requirements. CCSP approval requires PHCP license, GAMMIS enrollment, and completion of waiver-specific training and service agreements.
Georgia's state-designated EVV system for HCBS providers is NetSmart (Tellus). All Medicaid personal care visits require NetSmart EVV data matching the authorization. GAMMIS billing without matching NetSmart EVV results in claim rejection or denial.
Configure GAMMIS billing with correct CCSP service codes, authorization tracking connected to scheduling, NetSmart EVV integration, and credential monitoring. In Georgia, billing accuracy requires EVV data matching, authorization matching, and correct service code selection for the specific CCSP service type being delivered.
Georgia PHCP regulations require: OIG exclusion list check at hire + monthly monitoring, Georgia GCIC criminal background check, current CPR and first aid, TB test at hire, completed DCH-required orientation and competency training, I-9 documentation. Credential files must be complete and on file before the first visit.
Georgia CCSP clients are referred by case managers employed by the Area Agencies on Aging and Georgia DHS Aging Services. Build relationships with AAA case managers in your county before your license is active. The AAA case manager is the most important referral source for new Georgia CCSP providers.
Georgia designated NetSmart (Tellus) as the EVV system for Medicaid HCBS providers. Every Medicaid personal care visit must generate EVV data in NetSmart — caregiver clock-in and clock-out at the client's location — before GAMMIS will accept the claim without exception. Claims submitted without matching NetSmart EVV data are flagged as EVV exceptions and cannot be billed until the exception is resolved.
Georgia's state-designated EVV system for HCBS Medicaid providers. Register at the NetSmart provider portal. Caregiver clock-in and clock-out via Tellus app or telephony at the client's home.
Type of service, individual receiving the service, date of service, location of service delivery, individual providing the service, and time the service begins and ends. All six must match the authorization parameters for a clean claim.
An EVV exception — GPS mismatch, duration variance, service code mismatch — blocks billing for that visit until resolved. CareBravo resolves NetSmart EVV exceptions before billing runs in GAMMIS, so claims are clean at submission.
Georgia EVV requirements are governed by the 21st Century Cures Act federal mandate and implemented through Georgia DCH policy. Requirements should be verified with DCH at time of enrollment, as specifics may be updated.
These three pages are designed to link to each other — building topical authority for Georgia Medicaid home care queries across search engines and AI engines simultaneously. Each page handles a distinct question. All three together handle the full Georgia home care context.
Licensing, GAPP/CCSP enrollment, GAMMIS setup, NetSmart EVV, caregiver credentials, referral sources. The startup guide for the pre-launch Georgia owner.
starting-your-agency/georgia/ (current)NetSmart/Tellus EVV in depth — exception types, resolution process, GAMMIS billing integration, caregiver app requirements, and how EVV exceptions connect to CareDrain.
evv/georgia-evv/ →CCSP waiver program specifics, GAMMIS billing codes, MCO contracts in Georgia, authorization management, and state survey process — the operational Medicaid guide for established Georgia agencies.
medicaid/georgia/ — coming soonThe pre-launch CareDrain Diagnostic shows what starting without connected systems would cost over your first three years in Georgia — the GAMMIS billing gaps, the NetSmart EVV exceptions that accumulate, the credential tracking that falls behind — and what the Agency Value Scorecard looks like when all seven dimensions start building from your first visit. One business day. No commitment.
GAPP — Georgia Aged and Physically Disabled — is the program category under which Georgia administers Medicaid home and community-based services for elderly individuals and adults with physical disabilities, encompassing the Community Care Services Program (CCSP) and related programs. Home care agencies that provide CCSP services under the GAPP framework must be licensed as Private Home Care Providers by DCH, enrolled in GAMMIS, and approved as CCSP waiver providers. GAPP enrollment provides access to Georgia Medicaid clients who receive personal care, homemaker, and companion services at home, referred by case managers through the Area Agencies on Aging.
GAMMIS — Georgia Medicaid Management Information System — is Georgia's Medicaid billing portal at mmis.georgia.gov, operated by the Georgia Department of Community Health. All Georgia Medicaid home care claims are submitted through GAMMIS. A Georgia Medicaid provider number (assigned through GAMMIS enrollment) is required before any claim can be submitted. GAMMIS billing for personal care visits requires matching NetSmart/Tellus EVV data, correct CCSP or SOURCE service codes, and prior authorization data confirming the approved service hours. GAMMIS enrollment requires an active PHCP license, NPI, EIN, proof of insurance, and bank account for EFT payments. Processing: 30–90 days after complete application submission.
Georgia uses NetSmart (marketed as Tellus in Georgia) as its state-designated EVV system for Medicaid HCBS providers. All Medicaid personal care and home health visits in Georgia require NetSmart EVV data — caregiver clock-in and clock-out at the client's location via the Tellus app or telephony. EVV data must match the authorization parameters (service type, client, duration, location) for the claim to submit to GAMMIS without an exception. Claims submitted without matching NetSmart EVV data are blocked until the exception is resolved. Agencies must register on the NetSmart portal and complete caregiver EVV orientation before the first Medicaid visit.
The Georgia Private Home Care Provider (PHCP) license is issued by DCH and is required to provide personal care services in clients' homes in Georgia. For a Medicaid HCBS agency providing CCSP personal care services, the PHCP license is the required credential — not the Home Health Agency license, which covers skilled nursing and therapy services. The PHCP application requires proof of liability insurance, background checks for the owner and administrator, a qualified designated administrator, a written policy and procedure manual, and the application fee. DCH reviews the application and conducts an initial survey before issuing the license. Processing typically takes 60–90 days after complete submission.
From entity formation to first CCSP client typically takes 4–6 months in Georgia. The rate-limiting steps are PHCP license review and initial survey (60–90 days after complete DCH submission) and GAMMIS provider enrollment (30–90 days after PHCP license is in hand). Steps that can run in parallel: LLC formation and EIN can begin immediately; NPI application is available as soon as EIN is obtained; caregiver recruiting and credentialing can begin before Medicaid enrollment is complete; operational system setup (CareBravo) can begin immediately; referral source relationship building with AAA case managers can begin before the license is active. Beginning these parallel steps simultaneously compresses the total timeline.