GAPP & KATIE BECKETT GUIDE
GAPP and Katie Beckett, explained plainly.
What these Georgia programs are, who may qualify, and exactly how to get started.
The basics
The Georgia Pediatric Program (GAPP) helps medically fragile children receive nursing and personal care at home instead of in a hospital or facility. It is run by the Georgia Department of Community Health (DCH) and paid through Medicaid.
Who it serves
Medically fragile children and young adults under 21 who need ongoing care.
What it provides
Skilled nursing and/or personal care support in the home.
How it is paid
Through Georgia Medicaid. Your child must be Medicaid eligible.
How it is approved
Every service needs prior authorization, requested through a GAPP nursing agency.
GAPP vs Katie Beckett
Families often mix these up. They do different jobs, and some children use both.
| GAPP | Katie Beckett | |
|---|---|---|
| What it is | In-home nursing and personal care for medically fragile children | A way to qualify for Medicaid when parents’ income is too high |
| Age | Under 21 | Under 19 |
| Income | Child must be Medicaid eligible | Only the child’s income and resources count, not the parents’ |
| Care needed | Medically necessary care ordered by a physician | Child needs a hospital, nursing facility, or similar level of care |
| Who handles the request | A Medicaid-approved GAPP nursing agency | The DCH Katie Beckett Medicaid team |
How to apply, step by step
- Talk to your child’s doctor. Ask about in-home nursing or personal care. GAPP requires care that a physician has ordered as medically necessary.
- Make sure your child has Medicaid. GAPP services are for children who are Medicaid eligible. If family income is the barrier and your child is under 19, Katie Beckett may be the way in.
- Choose a GAPP nursing agency. Requests go through a Medicaid-approved GAPP agency, which submits the prior authorization request for you. We can do this for your family.
- Wait for the decision. The state reviews the request. You will get a decision letter. If something is missing, we help you fix it quickly.
- Begin care and keep it going. Once approved, we build your care plan and start. Approvals are reviewed again over time, and we help with renewals.
Want us to walk you through it? See how we work with families.
What to gather
Having these ready makes everything faster. Forms can change, so we confirm the current list with you.
Might your child qualify?
Answer four quick questions and we will point you to a sensible next step. It takes under a minute.
Question 1 of 4
How old is your child?
This is guidance only, not a guarantee of approval. Always confirm current rules with the Georgia Department of Community Health.
Common questions
Is GAPP the same as Katie Beckett?
No. Katie Beckett helps a child qualify for Medicaid when parents’ income is too high. GAPP is a Medicaid program that provides in-home skilled nursing and personal care. Some families use both: Katie Beckett to establish Medicaid, then GAPP for care at home.
Does my child need a specific diagnosis?
Eligibility depends on the level of care your child needs, not a single diagnosis. A doctor’s documentation of medical need is what matters.
Does GAPP cost families anything?
GAPP is a Medicaid program. Ask us about any costs that may apply to your situation.
Can we apply while a Medicaid application is pending?
GAPP services cannot be approved until Medicaid is in place, so Medicaid usually comes first. We can help you plan the timing.
What if we are denied?
You can ask for a review. The denial letter explains how and by when, and deadlines are short, so contact us right away and we will help you understand the next step.
What kind of care can my child receive?
GAPP can cover skilled nursing and personal care support at home, based on your child’s doctor’s orders and the care plan that is approved.
How long does approval take?
Timing varies with how complete the paperwork is and how quickly records arrive. We help you submit a complete package to avoid delays.
Official resources
This guide is for education only and is not legal or medical advice or a guarantee of eligibility. Program rules change, so confirm current details with DCH. Last reviewed October 2026.
Not sure where to start?
We will listen first, then help you understand the next step for your family.
Talk to Asia’s team