Understanding the GAPP Program: A Complete Guide for Georgia Families

What Is the Georgia Pediatric Program?

The Georgia Pediatric Program (GAPP) is a Medicaid waiver program that provides in-home skilled nursing and support services for medically fragile children under 21. The program exists so that children with complex medical needs can receive professional care at home rather than being placed in a nursing facility.

For many families, GAPP is the bridge between hospital-level care and the comfort of home. It allows children to grow up surrounded by their family while still receiving the specialized medical attention they need.

Who Qualifies for GAPP?

To be eligible for GAPP in Georgia, a child must meet the following criteria:

• Age: Under 20 years and 11 months
• Medicaid enrollment: Must be an active Georgia Medicaid member
• Medical fragility: Must have multiple systems diagnoses
• Nursing need: Requires continuous or shift-based skilled nursing care
• Alternative to facility: Would otherwise require placement in a nursing care facility

A physician referral documenting the child's medical needs is required to begin the process.

What Services Does GAPP Cover?

GAPP provides three main categories of services:

In-Home Skilled Nursing

This is the core of the GAPP program. Registered nurses or licensed practical nurses provide continuous or shift-based care in the child's home. This can include medication administration, ventilator management, tube feeding, wound care, and other skilled medical interventions.

Personal Care Support

Trained aides assist with daily activities that the child cannot perform independently — bathing, dressing, grooming, and mobility support. These services help children maintain dignity and develop independence where possible.

Behavioral Support Aide Services

For children with behavioral needs alongside their medical conditions, GAPP provides specialized behavioral support. Aides offer guidance, intervention strategies, and help maintain a safe, structured environment.

How to Apply for GAPP

Getting started with GAPP involves a few key steps:

1. Confirm Medicaid enrollment — The child must be enrolled in Georgia Medicaid
2. Get a physician referral — The child's doctor documents their medical needs
3. Contact a provider — Reach out to an approved GAPP provider like Heart and Soul Healthcare
4. Assessment — A needs assessment determines the level of care required
5. Care plan development — A personalized plan is created for the child

You can find the official GAPP program details on the Georgia Department of Community Health website and the Georgia Medicaid waiver programs page.

The application process can feel overwhelming, but you don't have to navigate it alone. Our team guides families through every step, from initial referral to care plan development.

Common Questions from Families

Can my child really stay home instead of a nursing facility? Yes — that's the entire purpose of GAPP. The program is specifically designed as an alternative to facility placement.

How many hours of nursing care will my child receive? Hours are determined by the child's individual needs assessment. Some children receive continuous 24-hour care, while others receive skilled nursing in shifts.

Does GAPP cover the nursing equipment my child needs? GAPP focuses on nursing services and personal care. However, other Medicaid programs may cover durable medical equipment and supplies. Your care coordinator can help connect you to additional resources.

Getting Started

If your child is medically fragile and you're exploring care options in Georgia, GAPP may be the right fit. The first step is always a conversation — reach out to learn whether your child qualifies and what services would look like for your family.