​

The Georgia Pediatric Program (GAPP) is a Medicaid program that provides skilled in-home nursing care for medically fragile children throughout the state of Georgia. This program supports children with complex medical needs by offering clinical services in the home, helping families manage ongoing care outside of hospital or residential settings.

 

​

What Is the Georgia Pediatric Program (GAPP)?

​

The Georgia Pediatric Program (GAPP) is a Medicaid-funded initiative designed to provide comprehensive pediatric nursing services at home for children who require ongoing clinical care. GAPP enables eligible children to receive nursing support where they live, improving quality of life and continuity of care.

​

 

Who May Qualify for GAPP Nursing Services

​

Children may be eligible for GAPP nursing services if they:

• Are under the age of 21

• Are eligible for Georgia Medicaid

• Have a documented medical condition requiring skilled nursing care

• Are approved through a physician-signed Plan of Treatment (PPOT)

Eligibility and the number of nursing hours provided are determined based on clinical evaluation and medical necessity.

​

 

What Services Are Covered Under GAPP

​

The Georgia Pediatric Program may cover a range of skilled nursing services, including:

• Registered Nurse (RN) and Licensed Practical Nurse (LPN) care

• Tracheostomy care and ventilator support

• G-tube feeding support

• Seizure monitoring and management

• Complex medication administration

• Ongoing medical monitoring and care coordination

Services are tailored based on the child’s individualized care needs as outlined in the approved Plan of Treatment.

​

 

How the GAPP Nursing Approval Process Works

​

Approval for GAPP nursing services generally includes:

1. A physician evaluation and submission of a Plan of Treatment (PPOT)

2. Review of clinical documentation and medical necessity by Georgia Medicaid

3. Determination of approval, modification, or denial based on clinical criteria

4. Reassessment when a child’s medical needs change

The number of nursing hours authorized is based on clinical need rather than a specific diagnosis.

​

 

Family Caregiver Option Under GAPP

​

In some cases, GAPP may allow a qualified family caregiver to provide approved care under program guidelines. Families interested in this option should seek information on eligibility criteria, caregiver training requirements, and program compliance.

​

 

Frequently Asked Questions About GAPP

​

• How long does GAPP approval take?

Approval timelines vary based on documentation and Medicaid review timelines.

• Does GAPP cover all medical conditions?

Coverage is determined by medical necessity and the child’s individualized needs.

• Can nursing hours change after approval?

Yes. Nursing hours may increase or decrease based on updated clinical evaluations.

• Is GAPP available throughout Georgia?

Yes. The Georgia Pediatric Program is available statewide to eligible Medicaid participants.