Short answerIn Georgia, the Department of Community Health runs GAPP and pays for it. DFCS decides whether your child has Medicaid. Alliant Health Solutions reviews and approves the hours. A Medicaid-enrolled nursing agency files the request and provides the care.
The roles
| Who | What they do | Call them about |
|---|---|---|
| You, the family | Keep Medicaid active, share records, care for your child alongside the staff | |
| Your child's doctor | Orders the nursing or personal care and provides medical records | Orders, records, letters of medical necessity |
| GAPP nursing agency | Assesses your child, submits the prior authorization, staffs the hours, files renewals | Scheduling, status of your request, renewals |
| Alliant Health Solutions | Georgia Medicaid's medical review team. Approves or denies GAPP and sets hours. Also reviews Katie Beckett level of care. | Usually reached through your agency |
| DFCS | Decides Medicaid eligibility, including Katie Beckett | Medicaid applications, renewals, eligibility letters |
| Georgia DCH | Runs Georgia Medicaid and GAPP, sets the rules and pays agencies | Program questions: GAPP.inquiries@dch.ga.gov |
Statewide coverage
GAPP is a statewide Medicaid program. What varies by place is staffing: an agency has to serve your county and have nurses available. Wherever you are in Georgia, send us a message and we'll talk through your county.