Participant Direction promotes independence by allowing individuals or their representatives to make decisions about the services and supports they receive from Medicaid Home and Community-Based Waivers. Georgia allows Participant Direction in the NOW/COMP waiver.



star Download the Participant Direction Handbook


Participant Direction Handbook Cover



star Participant Direction is a Service Delivery Option

Service Delivery refers to the method that is used to obtain the services. Individuals can choose to receive services using the Traditional Provider Model or by Participant DirectionService Delivery refers to the method that is used to obtain the services. Individuals can choose to receive services using the Traditional Provider Model or by Participant Direction.


Traditional Model: Services are provided by a Medicaid approved company that is responsible for providing the necessary supports and services including hiring and paying employees. The company charges a fee for their services (usually a percentage of the cost of the services) which is taken from the budgeted allocation of the waiver. The company will pay for your services and  bill Medicaid for reimbursement


Participant Direction: You are the employer and are responsible for recruiting, hiring and training employees. You determine how much you will pay for services and which vendors you will use for supplies and other goods and services. You are responsible for managing your budget and submitting invoices and/or timesheets for services to a fiscal intermediary. The fiscal intermediary pays for your services and then bills Medicaid for reimbursement.


starWho can Participant Direct?

In Georgia, Participant Direction is an option for individuals receiving the NOW/COMP waiver and who live in their own home or in the home of a family member. Participant Direction is not available to individuals who live in a residential facility, host home or a personal care home.


In addition to the individual with the waiver themself, a legal representative of the participant or anyone that the individual chooses (if the individual is over 21) can direct the services.


It is important that whoever directs the services be able to understand and perform the tasks required to manage and supervise employees. In addition, he/she should be able to complete all required timesheets and invoices and manage the budget.

starGetting Started

The first step to getting started with Participation Direction is to contact your NOW/COMP waiver support coordinator who will assist you with the following steps: 1) Contact a fiscal agent to manage your waiver funds; 2) Complete enrollment forms for processing and approval; 3) Recruit, hire and train staff; 4) Select vendors for other services.


starSupport Coordination

Support Coordination is a required service for all NOW/Comp waiver participants. Support Coordinators identify, coordinate, and oversee the delivery of services. Learn more about Support Coordination and the NOW/COMP waiver. There are currently seven support coordination agencies with ten locations in Georgia.


Benchmark Human Services

530 West Thomas Street, Suite C

Milledgeville, Georgia 31061




3312 Northside Drive Suite A140
Macon, Georgia 31210



Compass Coordination

1124 N. Tennessee Street Suite 104
Cartersville Georgia 30201 678-372-6626


Columbus Community Services

2470 Windy Hill Road, Suite 448
Marietta, Georgia 30067



1453 Greene Street, Suite B

Augusta, Georgia 30901



235 Roosevelt Avenue,

Suite 455 Albany, Georgia 31701



Creative Consulting Services

353 Resource Parkway

Winder, Georgia 30680



Georgia Support Services

101 Walke Dairy Road

Dublin, Georgia 31021



Professional Case Management (PCSA)

2404 Bemiss Road

Valdosta, Georgia 31602



starFiscal Agents

Financial Support Services or Fiscal Agents are a required service of Participant Direction. They are responsible for managing your waiver funds by performing payroll responsibilities, ensuring employee papperwork is complete, withholding state and federal taxes, and tracking and monitoring your budget. The fee for these services are set by Medicaid and are a part of the individual's budget. Below are the current approved fiscal agents in Georgia:


Acumen Fiscal Agent, LLC

Katrina Simisnean, Program Manager

(Based in Lawrenceville, Georgia)

4542 E. Inverness Ave, Ste 210

Mesa, Arizona 85206

Direct: 480-339-3506

Toll free: 1-877-211-3738

Fax: 1-888-249-7023

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.


Continuum Fiscal Services

Kyle Capers, Program Administrator

260 Peachtree Street, NW – Suite 1500

Atlanta, Georgia 30303


Fax: 1-855-872-3728


Public Partnerships, LLC

Chantielle D. Tally, Program Administrator

2849 Paces Ferry Road, Suite 630

Atlanta, Georgia 30339



starCheck out these Additional Resources

Download the DBHDD Participant Direction Brochure

Download the P2P/DBHDD Participant Direction Fact Sheet

Are you interested in connecting, learning and suppporting other individuals and families that Participant Direct? Check out these Facebook Groups:

NOW/COMP Waiver (Questions/Support)