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Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW)

Georgiasub_regulatoryGeorgia Department of Community Health — Division of Medical Assistance Plans (with DBHDD)· effective 2026-04-01

What this rule requires your agency to do

  • 1Services must comply with the HCBS Final Settings Rule requirements and person-centered planning incorporated into eligibility/ISP policy (§705, effective 10/1/2024).(Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW))
  • 2The NOW annual maximum service limit is $65,000 (updated from $52,300 effective 1/1/2025, §603.3).(Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW))
  • 3Effective 4/1/2026, staffing requirements add a Basic Life Support requirement (§612.1.2.5) and CPR/AED training requirements for staff must be met (§612.1.5.7.11).(Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW))
  • 4Effective 1/1/2026, providers must comply with the Conflict of Interest provision added at §611.1.(Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW))
  • 5Providers must incorporate person-centered service planning and delivery, qualified and competent staff, individual safeguards, and protection of individual rights into service delivery (§601).(Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW))
  • 6'Spouse of waiver recipient' is removed from both the Traditional Provider and Participant-Directed Family Caregiver Hire eligible-caregiver lists (§913.1.1 and §1212.1.1, effective 4/1/2026).(Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW))
  • 7Participant-Directed Representatives/Employers must have an Emergency Backup plan (§1209.2.1.14.2, added 4/1/2026).(Part II Policies and Procedures for Comprehensive Support Waiver Program (COMP) & New Options Waiver (NOW))

Applies to: personal care

Georgia's Part II provider manual for the NOW and COMP 1915(c) I/DD waivers, setting special conditions of participation, staffing/training requirements, person-centered service planning, and Family Caregiver Hire / Participant Direction rules for Community Living Supports.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.