What is GAPP and how does an agency get approved to serve Georgia Pediatric Program kids?
GAPP is Georgia Medicaid’s in-home nursing and personal care program for medically fragile children under 21. Families apply through a Medicaid-approved GAPP nursing agency. All services need prior approval. The pages we checked do not give the steps to become a GAPP agency.
GAPP means Georgia Pediatric Program. It pays for medically necessary skilled nursing and/or personal care support at home for children who are under 21 and medically fragile.
How it works for the child:
- A hospital, doctor, or family contacts a GAPP-approved nursing agency.
- The agency builds an application packet. A complete packet can take up to 30 days to review.
- Prior approval comes from the child’s care management organization (CMO), or from Alliant Health Solutions when the child is on fee-for-service Medicaid.
- Paperwork includes the DMA-6A, DMA-80, a physician plan of treatment, and yearly freedom-of-choice and letter-of-understanding forms.
EVV applies. Georgia lists GAPP skilled nursing, home health aide, and therapy codes among the services that must be verified.
How to become a GAPP agency: the pages we could open do not lay out the steps. They say only that DCH enrolls providers and that the agency must be a Medicaid-approved GAPP nursing agency. Call the GAPP Program Specialist at 404-657-7882 or read the GAPP policy manual (Part II) on the Georgia Medicaid portal before you plan around GAPP.
Sources
- Georgia Pediatric Program (GAPP) · Georgia DCH
- GAPP presentation (June 2023) · Georgia Medicaid (GAMMIS)
- Georgia Electronic Visit Verification (EVV) program page · Georgia DCH
Reviewed by Beth Bledsoe, Care Business Advisor®, 28 Oct 2026. Rules change. Confirm with your state Medicaid agency before you act.
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