GAPP stands for the Georgia Pediatric Program. It is administered by the Georgia Department of Community Health (DCH). It provides free, in-home skilled nursing and personal care to medically fragile children under age 21 who are enrolled in Georgia Medicaid. There is no waitlist and no out-of-pocket cost for eligible families.
This guide covers eligibility, services, timelines, costs, and application steps for GAPP in Georgia.
GAPP is a Medicaid state plan service. It is not a waiver program, so families do not wait on a list. Once your child is approved, services begin quickly.
The program was designed around one core idea: children heal better at home. Instead of repeated hospital stays, GAPP brings qualified medical professionals to your child.
Care is fully covered by Georgia Medicaid. Families pay nothing for approved services. GAPP is managed by DCH and reviewed by Alliant Health Solutions.
GAPP eligibility is based on your child’s medical needs, not your income. Here are the five core requirements:
Many families assume high income disqualifies their child. This is where the Katie Beckett Deeming Waiver matters. It removes parental income from the Medicaid equation entirely. Eligibility is based only on the child’s medical need.
Important: Even dual-income households may qualify through Katie Beckett. Their child could then access full GAPP services through that Medicaid coverage.
GAPP covers two main service categories. Approved hours depend on your child’s medical needs, determined through prior authorization.

Skilled nursing is delivered by licensed RNs and LPNs. These are clinically trained professionals. They manage complex medical needs safely at home.
Personal care is provided by Certified Nursing Assistants (CNAs). It supports daily living activities. This gives parents real respite and relief.
GAPP can authorize up to 24 hours of care per day based on medical necessity. Most families receive between 8 and 16 approved hours daily. Hours are determined through the prior authorization process.
Cost for Eligible Families: $0.00
GAPP is 100% funded by Georgia Medicaid.
There are no copays, deductibles, or monthly premiums. All approved services are fully covered by Georgia Medicaid.
Incomplete paperwork is the top cause of delays. Have these documents ready before applying:
Pro Tip: Care Within Reach coordinates directly with your child’s physician. We collect and verify all documents. You do not navigate this alone.
No. There is no waitlist for GAPP. GAPP is a Georgia Medicaid state plan service. It is not a waiver program, which means there is no queue to join.
Once your child receives prior authorization, care begins. This is a key advantage over many other Georgia disability programs. Families receive services in weeks, not years.
You cannot apply for GAPP directly through the state. You apply through a licensed, Medicaid-approved GAPP provider agency. Here are the six steps:
The standard GAPP approval timeline is approximately 30 days after a complete application is submitted. Total time from first contact to services starting typically ranges from 30 to 90 days.
Factors that affect the timeline:
How to speed it up: Work with an experienced GAPP agency from day one. Care Within Reach proactively manages all communications. We aim for 30-day approvals by submitting complete, accurate applications.

Yes. This is one of the most underused aspects of GAPP. It can make a real financial difference for families.
The Parent Caregiver Program at Care Within Reach allows parents, grandparents, and legal guardians to be employed as paid caregivers. You receive a competitive hourly wage for the personal care you already provide.
Benefits of the Parent Caregiver Program:
Not all GAPP agencies deliver the same experience. Your choice of provider determines your child’s care team, your family’s support system, and how smoothly the entire process goes.
Care Within Reach is a licensed Georgia Pediatric Program (GAPP) provider. We are based in Dunwoody, Georgia, and serve families across the Atlanta metro area and beyond. Our agency was founded by a healthcare professional with over 15 years of experience in the medical field.
After witnessing the struggles families face in accessing affordable care for medically fragile children, our founder built Care Within Reach to put families first, not paperwork, not bureaucracy. We are a fully licensed, Medicaid-enrolled GAPP provider agency.
Our care team includes licensed Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs) with specialized pediatric experience. We provide skilled nursing, personal care support, and the Parent Caregiver Program to Georgia families.
What is GAPP in Georgia? It is your family’s pathway to free, professional, in-home medical care. It is a Medicaid-funded program with no waitlist and no out-of-pocket cost for eligible families.
If your child has complex medical needs, you do not have to face this alone. You do not have to choose between working and caregiving. You do not have to navigate the application process by yourself.
Care Within Reach handles everything from the first call to the first day of care. We serve families across Georgia, and we are ready to help yours. The GAPP program in Georgia is available to your family right now.
Call: (770) 694-3225
Email: info@carewithinreachkids.com
Web: carewithinreachkids.com
No waitlist. No out-of-pocket cost. No obligation to consult. Serving Fulton, DeKalb, Gwinnett, Cobb, and surrounding Georgia counties.
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GAPP stands for the Georgia Pediatric Program. It is a Medicaid-funded in-home nursing service for medically fragile children under 21. Administered by the Georgia Department of Community Health, GAPP provides free skilled nursing and personal care at home.
To qualify, a child must be: under 21, enrolled in Georgia Medicaid (or eligible through Katie Beckett), diagnosed with a condition requiring skilled nursing, receiving physician-ordered services, and approved for a nursing home level of care through prior authorization.
No. GAPP is a Medicaid state plan service, not a waiver. There is no waiting list. Services begin after prior authorization is approved, usually within 30 days of a complete application.
Standard approval takes about 30 days after a complete application is submitted. The total timeline from first contact to services can range from 30 to 90 days. Having complete documentation and an experienced agency shortens this significantly.
Required documents include:
Proof of Georgia Medicaid enrollment
Child’s birth certificate
Physician’s referral for in-home nursing or personal care
Current medical records documenting diagnosis
Most recent hospital discharge summary (if applicable)
Medication list and prescribing physicians
Parent or legal guardian photo ID
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