GAPP WAIVER

Georgia Pediatric Program (GAPP)…what is GAPP?

The Georgia Pediatric Program (GAPP) was implemented in August 2002. Medicaid’s In-Home Nursing program is designed to serve eligible members based on a medical necessity determination(s) for children under the age of 20 years 11 months.

 

• Members must require medically necessary nursing care and/or personal care support services to be considered for services in the GAPP.

Goals of the Georgia Pediatric Program (GAPP) –In-Home Skilled Nursing The Georgia Pediatric Program (GAPP) is a member-oriented program with the following goals:

1. To provide skilled nursing care and / or personal care support based on medical necessity to medically fragile children under the age of twenty years 11 months. Caregivers must be knowledgeable and competent in the care of the child.

2. To provide quality services, consistent with the medically necessary needs of individual child. All services must be accompanied by a physician’s order.

3. To involve the physician and child’s caregiver(s) or representative(s) in the provision of the child’s care.

4. To demonstrate compassion for the members by treating the children and caregivers with dignity and respect while providing quality services in the home setting.


Although GAPP can be difficult to understand and navigate, we can simplify the process for you, thanks to our partnership with GAPP.

Getting Approved for In-Home Services


MEET WITH US

Meet with ALH to sign consent paperwork and gather other required information such as letters of medical necessity from physicians, hospitalization discharges, and more.

ALH SENDS PAPERWORK TO GAPP

ALH prepares and submits paperwork to GAPP. GAPP may take up to 30 days to make a decision (approve or denial).

ALH RECIEVES DECISION

ALH receives decision from GAPP.

ALH CONTACTS YOU TO START CARE

ALH contacts you to schedule the start of care or to discuss the appeal process in case of denial.


Serving Coweta, Carroll, Fulton, Troup, Heard, and Fayette counties

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