Prognosis Consulting / Home Health & PCS / Medicaid Waiver Compliance
Pillar II · Protection

Medicaid Waiver Compliance Audit

Georgia's CCSP and SOURCE waiver programs are under increasing scrutiny from the GA DCH and CMS. Waiver agencies carry documentation obligations that go well beyond standard home health — and the audit triggers are different. We built this engagement for the agencies that want to know their exposure before the letter arrives.

Scope

What this covers.

EVV Alignment

Visit records cross-referenced against service authorizations.

Service Authorization Compliance

Delivered units compared against approved units.

Caregiver Qualification Documentation

Training records, background checks, and licensure review.

Participant-Directed Care Documentation

Self-directed program compliance review.

Plan of Care Alignment

Visit records cross-referenced against active POCs.

Exclusion Screening Status

LEIE and SAM verification for all active caregivers.

Pricing

Two tiers.
Scoped by program.

Standard
$799
single program · up to 50 participants reviewed
  • Full six-area compliance review
  • Documentation and EVV alignment findings
Get Started

Know your exposure
before the letter arrives.

A short conversation is enough to scope the right tier for your program mix and participant count.