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• Waiver/Program TitleGA Comprehensive Supports Waiver Program (COMP)

  State

  Georgia

  Waiver Type

  1915(c)

  Waiver Population

  Intellectual and Developmental Disability

  Waiver Age Group

  All Ages

  Eligibility / Support Assessments

  • Health Risk Screening Tool (HRST)
  • Supports Intensity Scale (SIS)
  • GA Department of Medical Assistance Form 6 (DMA-6)
  • GA Physician's Recommendation for Pediatric Care (DMA-6A)
  • GA Level of Care Re-Evaluation Form (DMA-7)

  Quality / Outcome Assessments

  • National Core Indicators Adult Consumer Survey (NCI ACS)
  • National Core Indicators (NCI) Family Guardian Survey (NCI FGS)
  • GA Behavioral Health Quality Review - Individual Interview Tool (BHQR-IIT)

• Waiver/Program TitleGA Elderly and Disabled

  State

  Georgia

  Waiver Type

  1915(c)

  Waiver Populations

  • Age Related Disability
  • Physical Disability

  Waiver Age Group

  All Ages

  Eligibility / Support Assessments

  • Minimum Data Set for Home Care (MDS-HC)
  • GA Department of Medical Assistance Form 6 (DMA-6)
  • Patient Health Questionnaire-9 (PHQ-9)
  • Geriatric Depression Scale-Short Form (GDS-S)
  • Mini-Mental State Examination (MMSE)
  • Saint Louis University Mental Status Exam (SLUMS)

• Waiver/Program TitleGA Georgia New Options Waiver (NOW)

  State

  Georgia

  Waiver Type

  1915(c)

  Waiver Population

  Intellectual and Developmental Disability

  Waiver Age Group

  All Ages

  Eligibility / Support Assessments

  • Health Risk Screening Tool (HRST)
  • Supports Intensity Scale (SIS)
  • GA Department of Medical Assistance Form 6 (DMA-6)
  • GA Physician's Recommendation for Pediatric Care (DMA-6A)
  • GA Level of Care Re-Evaluation Form (DMA-7)

  Quality / Outcome Assessments

  • National Core Indicators Adult Consumer Survey (NCI ACS)
  • National Core Indicators (NCI) Family Guardian Survey (NCI FGS)
  • GA Behavioral Health Quality Review - Individual Interview Tool (BHQR-IIT)

• Waiver/Program TitleGA Independent Care Waiver Program (ICWP)

  State

  Georgia

  Waiver Type

  1915(c)

  Waiver Populations

  • Traumatic Brain Injury
  • Physical Disability

  Waiver Age Group

  21-64 Years

  Eligibility / Support Assessments

  • GA Department of Medical Assistance Form 6 (DMA-6)
  • Participant Assessment Form (PAF)
  • Personal Care Attendant - Hour Allotment Worksheet (PCA-HAW)

  Quality / Outcome Assessment

  GA ICWP Performance Measures (ICWP-PM)

• Waiver/Program TitleGA TEFRA/Katie Becket Deeming Waiver

  State

  Georgia

  Waiver Type

  State Program

  Waiver Populations

  • Intellectual and Developmental Disability
  • Autism Spectrum Disorder
  • Physical Disability

  Waiver Age Group

  18 and under

  Eligibility / Support Assessments

  • GA Physician's Recommendation for Pediatric Care (DMA-6A)
  • GA Medical Necessity/Level of Care Statement (MC-LOS-S)