Georgia Medicaid Waivers
Understanding home and community-based supports, wait list updates, and the push for stronger waiver programs across Georgia.
Key Waiver Programs
Georgia's Medicaid waiver programs provide critical supports that allow people with disabilities to live in their own homes and communities rather than in institutions. Below are two programs at the center of current advocacy efforts.
NOW/COMP Waivers
Desperately Needed: More NOW/COMP Waivers. The New Options Waiver (NOW) and Comprehensive Supports Waiver (COMP) serve people with developmental disabilities. Demand far exceeds available slots, leaving thousands of Georgians waiting for essential services.
ICWP — Independent Care Waiver Program
Rates Impossibly Low. The ICWP supports adults with physical disabilities, but provider reimbursement rates have fallen far behind the actual cost of care. A rate increase request has been submitted to address this gap and stabilize the program.
ICWP Rate Increase Request
Advocates are pressing for an increase to ICWP reimbursement rates. Without adequate funding, providers cannot sustain quality care, and individuals risk losing the community-based supports that keep them out of institutional settings. The Unlock Coalition continues to push lawmakers to act on this request.
Georgia's Medicaid waiver programs are designed to help people with disabilities live full lives in their own communities rather than in institutions. These waivers fund essential home and community-based services such as personal care, supported employment, and respite for families. Yet thousands of Georgians remain on waiting lists, often for years, desperately hoping for the supports they need. The gap between the number of people waiting and the available waiver slots represents a significant unmet need. Advocates across the state continue to push for expanded funding and streamlined enrollment processes so that no one has to wait years for the basic services that allow them to contribute to their communities and live with dignity.
The wait list data for Georgia's Medicaid waivers is updated periodically, reflecting the ongoing demand for home and community-based services. These numbers tell a powerful story of families and individuals waiting for supports that would allow them to work, attend school, and participate fully in community life. Each person on the list has a unique story and urgent needs that go unmet while they wait. Advocacy efforts focus on keeping these figures visible to lawmakers and the public, ensuring that the wait list is not forgotten during budget discussions and legislative sessions at the Georgia Capitol.
Advocates play a vital role in pushing for stronger waiver programs and increased funding. Through legislative advocacy days, listening tours, and community events, families and supporters come together to share their experiences and demand action. The goal is to rebalance Georgia's long-term care system so that more dollars are invested in community-based supports rather than institutional settings. When people with disabilities receive the services they need, they can live independently, pursue employment, and contribute to the local economy. Advocacy is about changing policies and perceptions to build a more inclusive Georgia for everyone.
Community engagement and public awareness are essential to the movement for waiver expansion. By sharing stories, attending events, and connecting with one another, advocates build a powerful network that cannot be ignored. The campaign encourages people to reach out to their legislators, participate in advocacy days at the Capitol, and follow updates on waiver developments throughout the legislative session. Every voice adds to the collective call for change. Together, Georgians are working to unlock the waiting lists and ensure that everyone has access to the home and community-based services they need to thrive.
Stay Informed & Take Action
Waiver policies change through advocacy. Join our action alerts to receive updates on legislative opportunities and ways to make your voice heard at the Capitol.
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