Does Medicaid pay for a caregiver to come to your home in Georgia?
For many families searching for home care in Gwinnett County, Georgia, this is one of the first—and most important—questions.
You may have a loved one who needs help bathing, dressing, moving safely around the home, completing everyday routines, or maintaining greater independence. You know additional support is needed, but paying privately for ongoing home care may not be realistic.
Georgia Medicaid has programs that can provide certain home- and community-based services to people who meet specific eligibility requirements.
Three programs you may encounter are the NOW Waiver, COMP Waiver, and Independent Care Waiver Program (ICWP).
Understanding how these programs work can help your family determine the next step toward receiving appropriate support at home.

Can Medicaid Pay for Home Care in Georgia?
For eligible individuals enrolled in an applicable program, Georgia Medicaid may cover certain authorized home- and community-based services.
However, there is an important distinction:
Simply having Medicaid does not automatically mean that an individual has been approved for unlimited home care.
Eligibility, assessments, enrollment, the specific waiver program, and an individual’s approved service plan all affect what services may be available.
That’s why families should first determine whether the individual already participates in a Medicaid waiver program—and, if so, which one.
What Is the NOW Medicaid Waiver?
The New Options Waiver Program (NOW) is designed to support eligible individuals with intellectual and/or developmental disabilities.
Depending on the person’s needs and approved services, the program can help individuals receive supports in community settings rather than relying exclusively on institutional care.
Families researching the NOW Waiver often search for services because their loved one needs additional assistance with everyday routines, independence, or participation in the community.
What Is the COMP Medicaid Waiver?
The Comprehensive Supports Waiver Program (COMP) also serves eligible individuals with intellectual and/or developmental disabilities.
While NOW and COMP serve related populations, they should not be treated as identical programs.
The individual’s level of need, eligibility determination, assessment, and approved service plan are important factors in determining available support.
If your family already has COMP authorization and is now searching for a COMP waiver provider in Gwinnett County, the next step may involve understanding the services authorized and identifying qualified providers for those services.
What Is ICWP?
The Independent Care Waiver Program (ICWP) is another Georgia Medicaid waiver program.
It serves certain eligible individuals with significant physical disabilities or traumatic brain injuries who meet the program’s requirements.
For qualifying individuals, community-based support can play an important role in maintaining independence and continuing to live outside of an institutional setting.
What Types of Help May Be Available at Home?
The exact services available depend on the Medicaid program and the individual’s approved service plan.
Depending on authorization and program requirements, support may address areas such as:
- Personal care
- Bathing
- Grooming
- Dressing
- Toileting
- Mobility assistance
- Transfers
- Daily routines
- Meal-related assistance
- Safety and supervision
- Community participation
- Support that promotes greater independence
Your authorization and service plan ultimately determine which services are covered for your specific situation.
“I Already Have a Medicaid Waiver. What Do I Do Next?”
This is where the conversation becomes much more specific.
If you or your loved one has already been approved for NOW, COMP, or ICWP, tell the home care agency that immediately when you call.
You should be prepared to explain:
Which waiver do you have?
Which services have been authorized?
Where in Gwinnett County do you live?
What type of assistance is needed?
When are you hoping to begin services?
Having this information available can help determine the appropriate next steps much faster than simply saying, “I have Medicaid.”
What If I’m Still Trying to Get Approved?
If you’re only beginning your search, don’t assume that you don’t qualify.
Start by identifying the individual’s needs and learning which Georgia Medicaid program may apply to their situation.
The approval process is handled through the appropriate Georgia program and agencies—not by the home care agency itself.
A home care provider should not promise that Medicaid will approve an individual or guarantee a particular number of service hours.
Instead, families should receive clear information about the distinction between applying for a waiver, receiving authorization, and selecting providers for approved services.
Finding Medicaid Home Care in Gwinnett County
Location matters when you’re searching for dependable home care.
Families throughout Gwinnett County may search Google using phrases such as:
“Medicaid caregiver near me”
“Medicaid home care near me”
“NOW waiver provider Gwinnett County”
“COMP waiver home care”
“ICWP provider near me”
“Medicaid home care Lawrenceville GA”
Serenity Care & Compassion serves families seeking home care support throughout Gwinnett County, including:
- Lawrenceville
- Snellville
- Lilburn
- Duluth
- Norcross
- Suwanee
- Dacula
- Grayson
- Buford
- Peachtree Corners
- Berkeley Lake
- Surrounding Gwinnett County communities
What Should You Look for in a Medicaid Home Care Provider?
Coverage is only the beginning.
You’re allowing another person into your home and trusting that person to assist someone important to you.
Before choosing an agency, consider asking:
How does the agency match caregivers?
A good match should consider more than an open schedule. Personality, care needs, communication, and compatibility matter.
How are scheduling issues handled?
Dependability is critical when someone relies on scheduled assistance with everyday needs.
Who do I contact when I need help?
Families should understand how communication with the agency works before care begins.
Does the agency understand my program?
Tell the provider exactly which Medicaid program you or your loved one participates in and confirm whether the agency can provide the specific authorized service you need.
Why Families Choose Serenity Care & Compassion
At Serenity Care & Compassion, we believe quality home care begins with understanding the person—not simply filling a schedule.
Our approach emphasizes:
- Compassionate caregiver support
- Dependability
- Clear communication
- Dignity and respect
- Person-centered care
- Greater independence whenever appropriate
- Support based on authorized services and individual needs
For families navigating Medicaid home care for the first time, we also understand that terminology can become overwhelming.
You don’t have to know every acronym before calling us.
Tell us where you are in the process, and our care coordination team can help determine the appropriate next step regarding services through our agency.
Frequently Asked Questions About Georgia Medicaid Home Care
Can Georgia Medicaid pay for an in-home caregiver?
Certain eligible individuals may receive authorized home- and community-based services through applicable Georgia Medicaid programs. Coverage depends on program eligibility and the individual’s authorization.
Does having Medicaid automatically qualify me for home care?
No. General Medicaid enrollment and enrollment in a particular Medicaid waiver program are not necessarily the same thing.
What’s the difference between NOW, COMP and ICWP?
NOW and COMP serve eligible individuals with intellectual and/or developmental disabilities, while ICWP serves a different qualifying population that includes certain individuals with significant physical disabilities or traumatic brain injuries. Each program has specific requirements.
Can I use Medicaid for home care in Lawrenceville?
Eligible Gwinnett County residents may receive authorized services based on their applicable Medicaid program, individual eligibility, and service plan.
Can Serenity Care & Compassion tell me if I’m approved?
Official eligibility and authorization decisions are made through the applicable Georgia Medicaid program. If you already have authorization, Serenity Care & Compassion can discuss the services you’re seeking and determine the appropriate next steps with our agency.
You may be closer to receiving support than you think—especially if you already have an active NOW, COMP, or ICWP Medicaid waiver authorization.
The next step doesn’t need to be complicated.
Call Serenity Care & Compassion today to speak with a care coordinator about Medicaid home care in Gwinnett County.
When you call, tell us whether you already have NOW, COMP, or ICWP, what type of help you need, and where you’re located.
Our team can help you understand the next steps toward beginning appropriate authorized home care services with Serenity Care & Compassion.
Serving Lawrenceville, Snellville, Lilburn, Duluth, Norcross, Suwanee, Dacula, Grayson, Buford, Peachtree Corners and surrounding Gwinnett County communities.
