Sponsored by the Georgia Council on Developmental Disabilities
The Unlock the Waiting Lists! Campaign advocates investing in Georgians with disabilities so they and their families can live full lives and contribute to Georgia Communities and the Georgia economy. We believe Georgia must rebalance its system of long-term services and supports, so that fewer dollars are spent on institutional care and more dollars are invested into Home and Community Based supports

September 9, 2014

Making a Difference: Telling Your Story Effectively to Legislators

Parent to Parent offers a Webinar for your interest in the archived recording of P2P Archived Webinar Making a Difference. Let your voice be heard by telling your story and giving effective testimony to your legislators or policy makers. Your story CAN make a difference! Whether you represent your child, yourself, or a group, you will learn tips from this worthwhile webinar! You will also learn ways to stay informed and engaged!

Presenters: Claire Dees, Parent to Parent of Georgia, Community Engagement Manager; Representative Pat Gardner, District 57, Atlanta; and Dawn Alford, Public Policy Specialist, Georgia Council on Developmental Disabilities and self-advocate.

Running Time 45 min. 53 sec.


Medicaid Waivers get more Funding for Personal Support Services

Waiver Personal Support Services Plan 8/19/14

Pending CMS Waiver Amendment Approval


Personal Support Services                                                                                             Prior to 7/1/14    Planned              


ICWP Personal Support Rates                                                                                                                                                                                     6.67% Increase



Y4051 Personal Support Level I                                  T2025 U5                              Attendant care services per hour                             $10.32 per hour,              $11.01

Y4052 Personal Support Level II                                T2025 U5 TF                        Attendant care services per hour                             $12.20 per hour                $13.01

Y4053 Personal Support Level III                               T2025 U5 TG                        Attendant care services per hour                             $14.07 per hour               $15.01

Y4087 TBI Personal Support Level I                          T2025 U5 U1                        Attendant care services per hour                             $10.32 per hour               $11.01

Y4088 TBI Personal Support Level II                         T2025 U5 U1/TF                 Attendant care services per hour                             $12.20 per hour,              $13.01

Y4089 TBI Personal Support Level III                        T2025 U5 U1/TG                Attendant care services per hour                             $14.07 per hour,              $15.01


CCSP/SOURCE Personal Support Rates                                                                                                                                                                     6.67% Increase

Y3832 Personal Support Services                              T1019                                    Personal Care Services                                                  $18.96 per hour                $20.02

Y3840 Extended Personal Support Services          T1019                                    Personal Care Services                                                  $16.84 per hour                 $17.96


NOW/COMP                                                                                                                                                                                                                        2.0% Increase


Community Living Support                                          T2025 U5                              Community Living Support Services                        $19.72 per hour                  $20.12

Community Access Services - Group                        T2025 HQ                              Community Access Services                                       $12.16 per hour                  $12.40

Community Access Services - Individual                  T2025 UB                              Community Access Services                                       $29.04 per hour                  $29.64


For more information see the DCH Website for Public Notices for Medicaid



New CMS Regulations Announced on the DCH Website

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS), otherwise known as waiver services. The purpose of these new regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated and that support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive HCBS.

For more details about the requirements of the new regulation, please see this Issue Brief on the Final Rule by the Association of University Centers on Disabilities.

Georgia has begun to look at how our waivers may need to be modified to comply with the new regulations. The process for how we plan to review waiver policies and service settings must be outlined in a written Transition Plan. A waiver-specific transition plan is required to be submitted to CMS with each amendment request. Georgia is planning to submit amendments for the Elderly & Disabled Waiver, New Options Waiver, Comprehensive Supports Waiver and the Independent CareWwaiver Program. Before submitting to CMS, stakeholder comment must be gathered to assure the public has had an opportunity to inform the Transition Plan.

In addition, once the first waiver amendment is submitted, Georgia has 120 days to complete a Statewide Comprehensive Transition Plan to address all waivers regardless of whether an amendment was submitted or not.

In each of the waiver amendments to be submitted by the end of August 2014, a waiver-specific transiton plan will be submitted with it outlining high level planning needed to ensure compliance with the new HCBS rules. Department staff, with operating agency stakeholder input, has developed a draft Transition Plan for each waiver population which is available for public comment before the plan is finalized for submission with each waiver amendment:

The official Public Notices supporting these activities are available for viewing, as well.

We invite the public to make comment.

There are several ways to submit comment:

  1. Comments may be submitted using the survey available at this link
  2. Public Comment may be orally provided at a public hearing at the DCH Offices, 2 Peachtree St., NW, 5th Floor, Atlanta, GA 30303. See Public Notice for details.
  3. Written Comments may be mailed per the instructions on Public Notice.
  4. Comments may be submitted to this email address: HCBSTransition@dch.ga.gov

Periodic updates will be made to this website as the Department of Community Health (DCH) and its partner agencies work to ensure compliance with the regulations for each waiver and for the required Statewide Transition Plan.  Please save this page address as your link to the most current information on this process.

Overview of Regulations HCBS -- The Basics -- Posted 08/27/14

Posted 07/02/14 - Updated 08/11/14



The Unlock Steering Committee: The Georgia Advocacy Office · The Arc of Georgia · The Georgia Council on Developmental Disabilities · The Statewide Independent Living Council of Georgia · People First of Georgia · The Institute on Human Development & Disability at the University of Georgia· The Center for Leadership in Disability at Georgia State University · The Georgia Council on Aging · Parent to Parent of Georgia

Thank you from the GCDD Policy Team

D'Arcy Robb: Public Policy Director

Dawn Alford: Public Policy Specialist

Dave Zilles: Parent Advocate



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