Intensive Support Coordination

New HCBS waiver service in Georgia for FY 2017


Map of Support Coordination and Intensive Support Coordination Providers by Region
February 2017

Overview of Intensive Support Coordination
Updated August 31, 2016

Support Coordination and Intensive Support Coordination Policy Manual for NOW and COMP Waiver Programs (Chapter 700)
Updated April 2017

DBHDD manages two of the state’s 1915(c) home- and community-based waivers, the New Options Waiver (NOW) and the Comprehensive Supports Waiver (COMP) programs. DBHDD has identified the need for an additional level of support coordination services for [BJ1] waiver participants with the highest risk status, resulting in the development of a new waiver service, known as intensive support coordination (ISC).

What is Intensive Support Coordination?
Intensive support coordination provides specialized coordination of waiver services and medical and behavioral support services for participants with exceptional medical and behavioral needs.

In addition to the full array of activities included in the traditional support coordination service, intensive support coordinators and their clinical supervisors will assist ISC participants by conducting the following activities:

  • Identifying and addressing barriers to care;
  • Accessing needed resources and services offered through the waiver and the larger health care system;
  • Taking active measures to address complex needs; and
  • Fostering and maintaining family and other informal relationships and supports.

Expectations for holistic care coordination and intensity of oversight are significantly increased for waiver participants receiving this service.

Who will be served?
Approximately 2,000 waiver participants living in all six of DBHDD’s geographic service regions meet eligibility criteria for intensive support coordination.

How is this service provided?

  • Each intensive support coordination team will consist of one ISC clinical supervisor and five ISC coordinators.
  • ISC supervisors must be a registered nurse or a licensed behavioral professional (BCBA, LPC, LCSW, psychologist, or RN) with at least three years of professional experience serving individuals with intellectual and developmental disabilities.
  • ISC extenders must have a bachelor’s degree in a human services field with at least two years of specialized experience with individuals in a health care or behavioral health setting and preferred experience with people who have intellectual and developmental disabilities.
  • Each team will serve up to 100 individuals, with no more than 20 waiver participants on each ISC coordinator’s caseload.

Intensive Support Coordination Service Implementation

  • Current and future NOW and COMP waiver participants meeting eligibility criteria for intensive support coordination (ISC) will be transferred from traditional support coordination to ISC beginning as early as September 1, 2016.
    • Approximately 1,600 waiver participants will be enrolled in ISC on a rolling basis.  Enrollments will take place during the annual recertification of each individual’s service plan.
  • If specific circumstances necessitate accelerated enrollment in intensive support coordination services, eligible participants will be evaluated and an earlier date of initiation of ISC can be coordinated through the individual service plan addendum process.
  • None of the waiver services a participant currently receives will be affected or reduced as a result of the addition of ISC.

More information
Contact the dedicated Q&A mailbox at