GAPP

Understanding GAPP

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

What is GAPP?

Georgia Pediatric Program is a Medicaid program that provides services to medically fragile children under the age of 21 in need of skilled nursing care and personal care support, in the safety of their own home. Services are approved based on the child’s medical needs, and families who are eligible for Medicaid can apply for GAPP at any time. GAPP is managed by the Georgia Department of Community Health (DCH).

What is Katie Beckett?

Katie Beckett Waiver, or Deeming Waiver, is an eligibility category for Medicaid for children under the age of 18. The Katie Beckett Waiver takes parents’ income out of the picture and bases the decision on the child’s needs. If the child qualifies for the Katie Beckett Waiver, they become eligible for services available under the regular state Medicaid plan.

Getting Approved for In-Home Services

Meet with Your Choice Caregivers

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

YCC sends paperwork to GAPP

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

YCC recieves decision

YCC receives decision from GAPP.

YCC contacts you to start care

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

How To Appeal GAPP's Decision


If the number of hours approved for your child is not what was requested or it has been reduced, you have the right to appeal — but you must respond quickly via mail by the deadlines indicated in your letter. Here’s how:

image4 You’ll receive a letter from GMCF (Georgia Medical Care Foundation), stating GAPP’s decision — and the clock starts from the date on the letter

 

image5We’ll help you with the letters and acquire any other additional written correspondence from doctors, hospitals, or other required documentation.

image6We’ll work with you to ensure that all documentation is mailed to the address on your letter within 30 days.

image7GAPP has 30 days to accept or deny your appeal.