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Medicaid & GAPP Approved  ·  DCH Licensed & Insured
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Core Health Group Corp. nurse delivering covered GAPP services at a child's bedside at home

GAPP Knowledge Center

What GAPP covers — services provided in the home

GAPP funds two main categories of in-home support for eligible children: skilled nursing and personal care. Coverage is based on medical necessity and prior authorization. Eligible children enrolled in Georgia Medicaid typically have no cost for covered GAPP services; any cost-sharing on the Katie Beckett pathway is determined by the Katie Beckett Medicaid team.

Skilled Nursing Services

Performed by licensed RNs and LPNs under physician-directed plans of care.

Skilled nursing services are provided by licensed registered nurses (RNs) and licensed practical nurses (LPNs). All skilled nursing care is delivered under a physician-ordered plan of care and documented in accordance with Georgia Medicaid requirements.

  • Ventilator management and monitoring
  • Tracheostomy care and suctioning
  • Gastrostomy/nasogastric tube feeding management
  • Medication administration (including IV medications when ordered)
  • Wound care and dressing changes
  • Vital sign monitoring and assessment
  • Catheter care and management
  • Seizure monitoring and response protocols
  • Post-surgical nursing oversight
  • Clinical documentation and physician communication

Personal Care Services

Performed by personal care aides (PCAs) under supervisor oversight.

Personal care services support the child's activities of daily living and are provided by trained personal care aides (PCAs). PCAs operate under the supervision of a qualified supervisor and follow the authorized plan of care.

  • Bathing, grooming, and personal hygiene assistance
  • Dressing and undressing
  • Toileting and continence care
  • Mobility assistance and transfer support
  • Meal preparation and feeding assistance (non-tube)
  • Light housekeeping related to the child’s care
  • Medication reminders (non-administration)
  • Transportation to medical appointments (in some cases)

What GAPP Does Not Cover

Services outside the scope of the GAPP benefit. When in doubt, contact us before services begin.

Institutional care (GAPP is specifically for home-based services)

Services that do not meet medical necessity criteria as reviewed by Alliant

Experimental treatments or therapies

Services provided by a family member (family members cannot be paid as GAPP caregivers in most cases)

Non-medical transportation beyond scope of authorized services

If you are unsure whether a specific service is covered, contact Core Health Group Corp. before services begin. Unauthorized services are not reimbursed.

Covered services, answered.

Are therapy services (physical, occupational, speech) covered under GAPP?

Physical, occupational, and speech therapy are separate Medicaid benefits and are not billed through GAPP. However, a child enrolled in GAPP can receive both GAPP services and therapy services through their Georgia Medicaid benefits concurrently.

Can a family member be a GAPP caregiver?

In most cases, family members cannot be paid as GAPP caregivers under standard Georgia Medicaid rules. Exceptions may apply in certain circumstances; contact us to discuss your specific situation.

What if my child needs services not listed here?

Contact Core Health Group Corp. We can advise whether a specific service can be included in the authorization request and how to document the need appropriately.

Does GAPP cover equipment (wheelchairs, ventilators, etc.)?

Durable medical equipment (DME) is a separate Medicaid benefit category. DME such as ventilators, wheelchairs, feeding pumps, and pulse oximeters may be covered under your child’s Georgia Medicaid benefits separately from GAPP services.

How are services billed?

Core Health Group Corp. bills Georgia Medicaid directly for covered services. There is no claim or paperwork for families to handle.

Free Eligibility Screening

See which services your child may qualify for.

Our intake team reviews your child's diagnosis and care needs at no cost. We handle prior authorization and bill Georgia Medicaid directly — no paperwork for your family.