Georgia SOURCE Waiver (2026): EDWP, SOURCE Sites, How to Apply

The Georgia SOURCE waiver is not a separate waiver at all. It is one of two service-delivery models inside the state's Elderly and Disabled Waiver Program (EDWP), a single Section 1915(c) Medicaid waiver run by the Georgia Department of Community Health (DCH). SOURCE, short for Service Options Using Resources in a Community Environment, puts an older adult's primary care doctor and their home-care services under one coordinated team; its sibling model, the Community Care Services Program (CCSP), keeps medical care and home care separate. This guide explains how SOURCE works, who qualifies, how to choose a SOURCE site, what it covers, and how to decide between SOURCE and CCSP.

Key Takeaways

SOURCE and CCSP are two delivery models inside one waiver. Both are part of Georgia's Elderly and Disabled Waiver Program (EDWP), a single Section 1915(c) Home and Community-Based Services (HCBS) waiver administered by the Georgia Department of Community Health (DCH). SOURCE is not a separate "1915(b)" authority.
Eligibility is age 21 and over with a functional impairment from physical limitations and an intermediate nursing-facility level of care; 65-plus is the typical population, not the rule.
The financial pathway is the same EDWP income test for both models. A single applicant's gross monthly income must be below $2,982 (300% of the Supplemental Security Income (SSI) Federal Benefit Rate) for 2026, with a Qualified Income Trust required at or above that figure, and countable assets at or below $2,000.,
The SOURCE site is the operational hub. Participants enroll with an approved SOURCE site (a physician group, community health center, or community-based organization) where a SOURCE primary care physician serves as both medical home and care coordinator.
The entry point is the Area Agency on Aging (AAA) network. A person with active full Medicaid may contact either the AAA or a SOURCE site for assessment. Appeals go to the Georgia Office of State Administrative Hearings (OSAH).

In This Guide

Key Takeaways
What SOURCE Is and Where It Fits
Do You Qualify for the Georgia SOURCE Waiver?
What Is a SOURCE Site?
What the Georgia SOURCE Waiver Covers
How to Apply
Cost Share
Structured Family Caregiving Under SOURCE
SOURCE vs. CCSP: How to Choose
Frequently Asked Questions
Learn More

What SOURCE Is and Where It Fits

The most common error about SOURCE, repeated across the web, is that it is a separate "hybrid" Medicaid waiver. It is not. The DCH source is unambiguous: SOURCE and CCSP are both delivery models inside one Section 1915(c) waiver, the Elderly and Disabled Waiver Program (EDWP).

A Section 1915(c) HCBS waiver lets a state fund home- and community-based services as an alternative to nursing-facility care for people who would otherwise need that level of care. Within EDWP, the two models differ in how care is coordinated, not in their federal authority:

CCSP (Traditional/Enhanced): the participant keeps their own primary care doctor and receives HCBS through a separate care coordinator at the Area Agency on Aging.
SOURCE: the participant enrolls with a SOURCE site, where a SOURCE primary care physician is both the medical home and the lead care coordinator for medical care and home-based services together.

Georgia operates four active Section 1915(c) HCBS waivers in total: EDWP (which contains CCSP and SOURCE), the Independent Care Waiver Program (ICWP) for adults who apply between the ages of 21 and 64 with severe physical disabilities, and the New Options Waiver (NOW) and Comprehensive Supports Waiver (COMP) for people with intellectual and developmental disabilities. NOW and COMP are administered by DCH, which delegates their day-to-day operation to the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD), so those two are applied for through DBHDD.

Do You Qualify for the Georgia SOURCE Waiver?

EDWP eligibility (which governs both SOURCE and CCSP) has functional, financial, and program requirements.

Functional Eligibility

The Elderly and Disabled Waiver Program serves individuals age 21 and over who have a functional impairment caused by physical limitations and who qualify for an intermediate nursing-facility level of care. Most participants are older adults, but the rule is age 21-plus, not 65-plus. The AAA assessor determines both eligibility and the type of services needed, and the test is the applicant's assessed functional need for hands-on help, not the diagnosis behind it, so an applicant with Alzheimer's disease or another dementia is assessed on the same criteria as anyone else. If you are unsure whether a dementia diagnosis will meet the level-of-care standard, request the assessment rather than ruling yourself out.

Financial Eligibility

EDWP applies a single waiver income test that does not split SOURCE from CCSP. For 2026:

Income: Gross monthly income below $2,982 for a single applicant, which is 300% of the SSI Federal Benefit Rate. An applicant whose income equals or exceeds this cap is income-ineligible until they route income through a Qualified Income Trust (see below), which restores eligibility.
Assets: Countable assets at or below $2,000 for a single applicant and $3,000 for a couple with both applying.
Married applicants: Federal spousal-impoverishment rules protect the at-home (community) spouse. For 2026 the Community Spouse Resource Allowance ranges from $32,532 to $162,660, and the maximum monthly maintenance needs allowance is $4,066.50.
Home equity: The federal Medicaid home-equity limit applies; for 2026 it starts at the federal minimum of $752,000. The home is generally not counted while a community spouse or qualifying dependent lives there.

The Qualified Income Trust (Miller Trust)

Georgia is an income-cap state. An applicant whose income is equal to or greater than the Medicaid cap of $2,982 per month for 2026 is income-ineligible for any long-term-care class of assistance unless and until they establish a Qualified Income Trust (QIT, or "Miller Trust") to shelter income above the limit.,, The trust must hold only the applicant's income, be irrevocable, and name DCH as remainder beneficiary up to the amount Medicaid paid for the applicant's care.

SOURCE Site Enrollment

A SOURCE participant must enroll with an approved SOURCE site that operates in their area. The SOURCE site agrees to be the participant's primary care medical home and lead care coordinator. If no SOURCE site operates in the participant's county, CCSP is generally the alternative.

What Is a SOURCE Site?

A SOURCE site is the operational hub of the SOURCE model. It is an approved physician group, community health center, or community-based organization that has contracted with DCH to deliver coordinated primary care plus HCBS care coordination for SOURCE participants.

What a SOURCE Site Does

Primary care. A SOURCE primary care physician (PCP) serves as the medical home. The PCP provides routine medical care, manages chronic conditions, prescribes medications, refers to specialists, and admits to the hospital when needed.
HCBS care coordination. A SOURCE care coordinator (often a nurse or social worker) develops and manages the home-care plan, supervises home-care providers, conducts regular contacts and home visits, and responds to changes in condition.
Integrated care. Because the PCP and the care coordinator work on the same team, medical and home-care decisions are coordinated, which reduces redundant assessments and conflicting care plans.

Types of SOURCE Sites

Physician groups, including geriatric medicine and primary care practices for older adults
Federally Qualified Health Centers (FQHCs) with SOURCE certification
Community health centers and hospital-based outpatient practices with SOURCE certification
Community-based organizations with a contracted SOURCE PCP relationship

SOURCE-site availability varies across Georgia. Metro Atlanta typically has the most sites; mid-size cities usually have at least one; some rural counties have none, in which case CCSP is the practical alternative. Ask your Area Agency on Aging for the current SOURCE-site list when you call.

What the Georgia SOURCE Waiver Covers

SOURCE covers the same EDWP home- and community-based services as CCSP, plus the coordinated primary care layer through the SOURCE site.

HCBS Services

Adult Day Health: center-based daytime supervision, social activities, meals, personal care, and nursing oversight
Alternative Living Services: personal-care-home placement where the participant receives 24-hour personal care
Emergency Response System: a wearable or in-home button connecting to a 24-hour monitoring center
Home-Delivered Meals: nutritionally balanced meals delivered to the home
Out-of-Home Respite: short-term placement to give a family caregiver a break
Personal Support Services: hands-on personal care in the home (bathing, dressing, toileting, transferring, light housekeeping, meal preparation, medication reminders)
Consumer-Directed Personal Support Services: the participant directs their own personal-support attendant
Skilled Nursing: periodic skilled nursing in the home
Structured Family Caregiving: a live-in family caregiver paid through an approved provider organization

Coordinated Primary Care

Through the SOURCE site, participants also receive routine office visits with the SOURCE PCP, chronic-disease and medication management, specialist referrals, hospital admission and discharge planning, and an annual comprehensive assessment.

What SOURCE Does Not Cover

Services that Medicare or another primary insurer covers (Medicare remains the primary payer for acute care for dual-eligible participants)
Nursing-facility long-term care, which is a separate Medicaid pathway
Rent, utilities, food, and personal items, which come out of the participant's retained income

How to Apply

The statewide entry point for EDWP, including SOURCE, is the Area Agency on Aging (AAA) network. A person who already has active full Medicaid may contact a SOURCE site directly for assessment. In the Atlanta region, the Atlanta Regional Commission's AAA operates under the "Empowerline" brand; Empowerline is the metro-Atlanta AAA, not the statewide front door.

Step 1

Contact your Area Agency on Aging

Call your regional AAA, which serves as the EDWP entry point and conducts the initial screening. You can find your AAA through the Georgia Aging and Disability Resource Connection (ADRC).

Step 2

Complete the functional assessment

The AAA conducts an assessment to verify the intermediate nursing-facility level of care and identify the best-fit program. If SOURCE is viable (a SOURCE site operates in your area), the AAA discusses SOURCE-site options.

Step 3

Select a SOURCE site

You choose a SOURCE site from the approved providers in your area. Factors to weigh include geographic accessibility for in-person visits, whether the SOURCE PCP has experience with your conditions, care-coordinator availability, and which home-care agencies and adult day health centers the site works with.

Step 4

Apply for Medicaid

If you are not already a Medicaid recipient, apply for long-term-care Medicaid through the Georgia Division of Family and Children Services (DFCS). Apply online at Georgia Gateway, by phone, or in person. See our Georgia Medicaid application guide for operational details.

Step 5

Enroll and build your care plan

Once Medicaid eligibility is approved, the SOURCE site enrolls you, your SOURCE PCP conducts an initial comprehensive visit, and the care coordinator visits your home to build the care plan. The plan is submitted to DCH for approval, and services begin.

DCH calculates a cost share (also called patient liability) for each participant based on gross monthly income, the cost of the care plan, a maintenance allowance for community living expenses, health-insurance premiums, and any family allowance. The maintenance allowance is set to leave the participant with enough income for rent or mortgage, utilities, food, and other community-living costs. Many participants pay a modest monthly cost share; the amount is the same calculation under SOURCE and CCSP, and the federal post-eligibility rules behind it are covered in our CCSP guide.

For reference, a Medicaid member who instead resides in a nursing facility keeps a Personal Needs Allowance of $70 per month, with the remainder of income applied to the cost of care. SOURCE participants live in the community and are not subject to the nursing-facility patient-liability formula.

Structured Family Caregiving Under SOURCE

Structured Family Caregiving (SFC) is a service under Georgia's Elderly and Disabled Waiver, offered through both CCSP and SOURCE, that supports a live-in family caregiver providing care to the waiver member. A live-in relative or other approved caregiver may be paid through an approved SFC provider organization. Georgia's SFC rules exclude a spouse, legal guardian, parent of a minor child, or conservator from serving as the paid caregiver, and providers across the state apply that bar; because DCH does not publish the exclusion in its public EDWP materials, confirm how it applies to your family with your AAA or the SFC provider before you plan around the income. Current stipend levels and the tax treatment are covered in our CCSP guide's Structured Family Caregiving section and our guide on how to get paid as a family caregiver in Georgia.

How SFC Works Under SOURCE

The participant enrolls in SOURCE through the AAA or a SOURCE site.
SFC is added as a service in the care plan.
The participant and family member select an approved SFC provider organization.
The SFC provider conducts a home assessment, trains the caregiver, and pays a monthly stipend set by the participant's assessed acuity level.
The SOURCE care coordinator and SFC provider jointly oversee care, and the SOURCE PCP integrates SFC into the medical care plan.

Current Georgia stipend figures are in our CCSP guide; the provider you choose confirms the exact amount once the acuity level is set.

SOURCE vs. CCSP: How to Choose

Because SOURCE and CCSP share one waiver, eligibility, services, and cost-share calculation are the same. The choice turns on care coordination, your existing doctor relationships, and whether a SOURCE site operates near you.

Dimension	SOURCE	CCSP (Traditional/Enhanced)
Federal authority	Section 1915(c) EDWP	Section 1915(c) EDWP
Primary care	Through the SOURCE site's PCP	Keep your own PCP
Care coordination	SOURCE site coordinates medical care and HCBS together	AAA care coordinator handles HCBS only
Eligibility (age, LOC, income, assets)	Same EDWP test	Same EDWP test
HCBS services covered	Same EDWP services	Same EDWP services
Cost-share calculation	Same DCH formula	Same DCH formula
Best fit when	You want integrated care and have no PCP you need to keep	You want to keep your existing doctor, or no SOURCE site operates in your county

You can switch between SOURCE and CCSP during open enrollment or with good cause, such as a SOURCE site closing, dissatisfaction with the SOURCE PCP, or relocation. Work with your AAA care coordinator to navigate the switch.

Frequently Asked Questions

Is SOURCE a separate waiver from CCSP?

No. SOURCE and CCSP are two service-delivery models inside the same Section 1915(c) waiver, Georgia's Elderly and Disabled Waiver Program (EDWP). They share the same eligibility rules, the same covered services, and the same cost-share calculation. The difference is how care is coordinated: SOURCE integrates primary care and home-care coordination through a SOURCE site, while CCSP keeps them separate.

Who is eligible for SOURCE?

EDWP, and therefore SOURCE, serves individuals age 21 and over with a functional impairment from physical limitations who qualify for an intermediate nursing-facility level of care. Most participants are older adults, but the rule is 21-plus, not 65-plus. For 2026, a single applicant's gross monthly income must be below $2,982 and countable assets at or below $2,000, with a Qualified Income Trust required once income reaches the cap.

Do I have to switch doctors if I enroll in SOURCE?

Usually. SOURCE delivers your primary care through the SOURCE site's PCP, so unless your current doctor already practices at a SOURCE site, enrolling means changing primary-care doctors. If keeping your current doctor matters and that doctor is not part of a SOURCE site, CCSP is the better path. You can keep specialists outside the SOURCE site, but they coordinate with the SOURCE PCP.

How do I apply for SOURCE in Georgia?

Contact your regional Area Agency on Aging, the statewide entry point for EDWP. A person who already has active full Medicaid may contact a SOURCE site directly. The AAA conducts the level-of-care assessment, helps you select a SOURCE site, and routes you to a long-term-care Medicaid application through DFCS if you are not already enrolled.

Can I use SOURCE with Medicare?

Yes. Many SOURCE participants are dually eligible for Medicare and Medicaid. Medicare remains the primary payer for acute medical services; Medicaid, through SOURCE, pays for the home- and community-based services and the primary-care coordination. The SOURCE PCP coordinates with Medicare and Medicare Advantage plans.

Is there a PACE program in Georgia instead?

As of mid-2026, Georgia has no confirmed operating PACE (Program of All-Inclusive Care for the Elderly) site. The state issued a PACE Request for Proposals that closed in May 2025 and was still in procurement. For an HCBS alternative to nursing-facility care available now, EDWP (SOURCE or CCSP) is the operating pathway.

Can a spouse be paid as my Structured Family Caregiver?

Generally, no. Georgia's Structured Family Caregiving rules exclude a spouse, legal guardian, parent of a minor child, or conservator from being the paid structured family caregiver, and SFC providers across the state apply that bar. Another live-in relative or approved caregiver may be paid through an approved SFC provider organization. DCH does not publish the exclusion in its public EDWP materials, so confirm your own situation with your AAA or the SFC provider rather than assuming either way.

What if I am denied SOURCE eligibility?

Request a state hearing through the Georgia Office of State Administrative Hearings (OSAH) within the timeframe stated on your denial notice. If you file early enough, you can request aid pending for terminations or reductions of existing services. Free legal help is available through the Georgia Legal Services Program and Atlanta Legal Aid.

Georgia Aging and Disability Resource Connection (ADRC) Find your regional Area Agency on Aging, the EDWP entry point for SOURCE. aging.georgia.gov/programs-and-services/adrc

Georgia Department of Community Health (DCH) Administers EDWP and its two delivery models, CCSP and SOURCE. dch.georgia.gov

Georgia Division of Family and Children Services (DFCS) Handles long-term-care Medicaid applications; apply online at Georgia Gateway. dfcs.georgia.gov

Office of State Administrative Hearings (OSAH) Hears appeals from Medicaid eligibility or SOURCE service denials. osah.georgia.gov

Georgia Legal Services Program and Atlanta Legal Aid Free legal help for income-eligible older adults facing denials or terminations. glsp.org

Learn More

Find personalized help comparing SOURCE and CCSP and choosing a SOURCE site at brevy.com.

References

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