For Case Managers and Discharge Planners: Referring to SWGA Homecare

What we provide

Non-medical in-home support across our Southwest Georgia service area: personal care and bathing, transfers and mobility assistance, meal preparation, light housekeeping, medication reminders, companionship, dementia support, respite, post-hospital assistance and extended-hours care. Caregivers are agency employees, screened and supervised, with electronic verification of visit times.

What we are not

We do not provide skilled nursing visits, therapy, or anything requiring a physician's order for clinical treatment. When a referral needs skilled care, we will say so and coordinate alongside the home health agency rather than take a case we cannot serve.

What we need to respond quickly

• Patient name, contact, address and county.
• Discharge date and time, and whether the home is currently occupied.
• Level of assistance needed: bathing, transfers, toileting, supervision, meals.
• Weight-bearing status and equipment in place or ordered.
• Cognitive status, including wandering or exit-seeking behaviour.
• Payment route: private pay, long-term care insurance, or program pending.
• Family contact who can authorise service and sign the agreement.
• Whether home health or therapy is also ordered, and by whom.

Response times

A coordinator responds to referrals the same business day. Assessment visits are generally arranged within one to two business days, and sooner for discharges. If we cannot staff a case safely, you will hear that immediately rather than after the patient is home.

How to send a referral

Use our secure provider referral portal. Organisations can request access, then submit and track referrals, exchange documents and see status without email attachments. Clinical details stay inside the portal — please do not send patient information by unsecured email or text.

What you get back

Confirmation of receipt, the assessment outcome, the start date and schedule, and notification if circumstances change. Supervisory visits are documented, and care notes are available to the family and, where authorised, to the referring team.

Communication during care

If a patient's condition changes, our caregivers report it the same day and our office notifies the appropriate clinical contact. Incidents are logged and reviewed. We would rather call you with something minor than have you learn about it at a readmission.