Georgia Pediatric Program (GAPP)
The Georgia Pediatric Program (GAPP) provides compassionate in-home care for children and young adults under 21 with medical needs. Through skilled nursing and daily living support, GAPP helps families care for their loved ones at home, offering comfort, safety, and peace of mind—all fully funded by Georgia Medicaid.
Georgia Pediatric Program (GAPP): Unskilled Support Services
The Georgia Pediatric Program (GAPP) provides a wide range of unskilled support services to help children and young adults with daily living and basic medical needs. Our trained staff actively assist with each task, ensuring safety, comfort, and proper communication with licensed nurses and doctors. Check Eligibility and Intake Process or Contact us for for application
Medication Administration
We ensure children take their prescribed medications on time and in the correct dosage. Our caregivers follow medical instructions precisely, check for potential side effects, and maintain accurate records. By doing so, we give families peace of mind and help prevent missed doses or harmful medication errors. Whether oral, topical, or via medical devices, our team provides safe and supportive administration.
Hygiene Care
We help children with daily hygiene routines such as brushing teeth, washing hands, hair care, and nail trimming. Proper hygiene reduces the risk of infections and promotes overall health. Our caregivers approach hygiene with patience, respect, and encouragement, fostering independence wherever possible.
Bathing
Bathing is an essential part of health and comfort. We assist children with safe and gentle bathing routines, adapting to their mobility and medical needs. From sponge baths to assisted showers, we prioritize safety, dignity, and relaxation, ensuring children feel refreshed and cared for.
Dressing
Our team helps children choose appropriate clothing and assists with dressing according to their abilities. We promote independence by letting children participate when possible, while also ensuring comfort, weather-appropriate choices, and sensitivity to medical devices such as G-tubes or trach placements.
Take Vital Signs
We regularly check and record vital signs, including heart rate, blood pressure, temperature, and oxygen levels. By monitoring these indicators, our caregivers can quickly detect changes and alert nurses or doctors. This proactive care helps prevent complications and ensures medical staff have accurate updates.
Wheelchair Assistance
For children who use wheelchairs, we provide safe transfers, mobility support, and positioning to prevent discomfort or injury. Our caregivers are trained to handle wheelchairs with care, whether at home, school, or appointments, ensuring children remain active and included in daily activities.
Collect Treatment Plan Information
We actively document a child’s daily progress, responses to care, and any changes in condition. This valuable information is shared with nurses and doctors to improve treatment plans. Families benefit from consistent updates that help guide medical decisions and long-term care strategies.
Turn or Reposition Assistance
For children with limited mobility, we gently turn and reposition them to prevent pressure sores, improve circulation, and enhance comfort. Regular repositioning is essential for maintaining skin health and preventing long-term complications. Our caregivers follow medical guidelines with compassion and precision.
Change Sheets and Bed Linens
We keep children’s sleeping environments clean and comfortable by regularly changing sheets and linens. This reduces the risk of infections, improves hygiene, and promotes restful sleep. We ensure bedding changes are done smoothly, minimizing discomfort and disruptions for the child.
Observation
Our caregivers carefully observe children throughout the day, watching for changes in behavior, mood, or physical health. Early detection of issues such as fever, breathing difficulties, or unusual fatigue helps families act quickly. We serve as an extra set of eyes and ears for parents and doctors.
Communicate Issues to Nurse or Doctor
Clear communication is key to effective care. We promptly report any concerns, symptoms, or unusual observations to medical professionals. This ensures children receive timely interventions and appropriate adjustments to their treatment plan, reducing risks and improving outcomes.
Assistance with Daily Living Activities
From eating and grooming to toileting and mobility, we help children perform essential daily living activities. These supports build independence while ensuring safety and dignity. Our caregivers adapt to each child’s abilities, encouraging participation and fostering confidence.
Trach Care (Including Changing and Cleaning)
For children with tracheostomy tubes, we provide specialized care to keep airways clear and functioning. This includes cleaning, changing supplies, and monitoring for infection. Proper trach care is vital for breathing safety, and our trained staff follow strict medical protocols.
Gastrostomy Tube Care (Including Feeding, Cleaning, Changing)
We manage G-tube feeding schedules, maintain cleanliness, and assist with safe equipment changes. Proper care ensures children receive necessary nutrition without complications. Families can rely on us for safe, consistent support that protects the child’s health.
Bagging via Trach or Mout
In emergencies, we provide manual ventilation (bagging) through a trach or mouth to ensure children continue receiving oxygen. Our caregivers are trained in this lifesaving technique, responding quickly and effectively until advanced medical care is available.
Respiratory Treatment
We assist with prescribed respiratory therapies, including nebulizer treatments, inhalers, and breathing exercises. This support helps children manage chronic conditions like asthma or respiratory infections while ensuring proper technique and consistent care.
Suctioning
To keep airways clear, we provide safe suctioning of mucus or secretions from the trach or mouth. This prevents blockages, improves breathing, and reduces infection risks. Our staff use sterile techniques and prioritize comfort during the process.
Meal Preparation and Feeding Assistance
We prepare nutritious meals tailored to children’s dietary needs and medical restrictions. Our caregivers follow doctors’ or dietitians’ instructions to ensure children receive balanced meals, whether by mouth, modified textures, or supplemental feeding methods. We also assist during mealtimes, encouraging independence while ensuring safety for children with swallowing difficulties.
Hydration Support
Staying hydrated is critical for children’s health. We monitor fluid intake, prepare suitable drinks, and provide reminders or direct assistance as needed. For children with medical devices, we ensure fluids are delivered safely. Proper hydration supports digestion, energy, and overall well-being.
Mobility and Range of Motion Exercises
We assist children with gentle exercises prescribed by therapists or physicians to improve flexibility, strength, and mobility. These movements help prevent stiffness, reduce discomfort, and encourage physical development. Our caregivers make exercise fun and engaging while prioritizing safety and comfort.
Sensory Stimulation Activities
For children with developmental or neurological challenges, sensory stimulation plays an important role in growth. We provide safe activities such as music, textured toys, and visual aids that encourage exploration and cognitive development. These activities are adapted to each child’s unique abilities and interests.
Companionship and Emotional Support
Beyond physical care, emotional well-being is equally important. Our caregivers spend time talking, playing, and listening to children, offering comfort and companionship. This support builds trust, reduces anxiety, and encourages positive self-esteem, especially for children facing medical or developmental challenges.
Transportation Assistance
We support families with safe transportation for medical appointments, therapies, or school activities. Caregivers assist with getting children ready, securing them safely in vehicles, and ensuring they arrive on time. Transportation support gives parents peace of mind and ensures children never miss important appointments.
Light Housekeeping Related to Child’s Care
We help maintain a clean and safe environment by managing tasks directly related to the child’s care, such as sanitizing toys, washing bottles, and tidying medical supplies. A hygienic environment reduces infection risks and creates a more comfortable space for the child.
Support with Toilet Training or Incontinence Care
We provide patient and respectful assistance with toilet training or incontinence management. This may include helping with bathroom routines, changing diapers or pull-ups, and maintaining skin hygiene. We encourage independence while ensuring children feel comfortable and supported during these personal tasks.
Monitoring Sleep Patterns
Sleep is essential for growth and healing. Our caregivers monitor children’s sleep schedules, ensure a safe sleep environment, and observe any disruptions or irregularities. Sleep patterns are documented and shared with parents or medical staff to guide care and treatment adjustments.
Assistance with Schoolwork and Learning Activities
We support children in completing school assignments, practicing skills, and engaging in educational play. By creating a supportive learning environment, we help children stay on track with their academic goals. Our caregivers encourage participation, focus, and confidence while adapting support to each child’s learning style.
Recreational and Play Therapy Support
Play is vital for a child’s development, even when they require in-home medical care. We encourage recreational activities such as drawing, storytelling, games, or safe outdoor play. These activities promote creativity, improve social skills, and reduce stress. For children with special needs, we adapt play therapy to their abilities, making sure they feel included and engaged. By blending fun with developmental support, we help children maintain joy, emotional balance, and a sense of normalcy in their daily lives.
Georgia Pediatric Program (GAPP): Skilled Nursing Services
The Georgia Pediatric Program (GAPP) offers advanced, in-home medical care for children and young adults with complex conditions. Our licensed nurses actively provide skilled services, monitoring health, administering treatments, and ensuring children receive safe, professional care in their homes.
CVL (Central Venous Line) Care
Central venous lines are essential for children who need long-term IV therapy, medications, or nutrition. Our skilled nurses handle insertion site cleaning, dressing changes, and flushing to keep the line patent and free from infection. We carefully monitor for complications such as blood clots, leakage, or signs of infection, ensuring immediate intervention if issues arise. We also educate families on how to recognize potential problems so that children remain safe between nursing visits. By managing CVLs with precision and care, we ensure each child receives vital treatments in the comfort and safety of their own home.
TPN (Total Parenteral Nutrition)
For children unable to eat or absorb nutrients through their digestive system, TPN provides essential nutrition directly into the bloodstream. Our nurses carefully prepare and administer TPN via IV lines while monitoring fluid balance, electrolytes, and blood sugar levels. Because TPN carries risks of infection, metabolic imbalance, and line complications, we follow strict sterile procedures. We also collaborate with physicians and dietitians to adjust formulas as a child’s needs change. With close monitoring and compassionate care, we help children maintain strength, promote growth, and avoid malnutrition while living safely at home.
CPAP Therapy
Continuous Positive Airway Pressure (CPAP) therapy helps children with obstructive sleep apnea or respiratory disorders maintain open airways during sleep. Our skilled nurses ensure CPAP machines are set correctly, masks fit comfortably, and equipment is functioning properly. We monitor the child’s breathing patterns, oxygen levels, and tolerance to therapy. Parents are educated on equipment use, cleaning, and troubleshooting. Consistent CPAP use improves sleep quality, reduces health risks associated with apnea, and supports overall growth and development. We provide ongoing support so that children breathe easier, sleep better, and enjoy improved quality of life.
BiPAP Therapy
Bi-level Positive Airway Pressure (BiPAP) is often prescribed for children with more complex respiratory issues, such as neuromuscular disorders or severe apnea. Unlike CPAP, BiPAP delivers two pressure levels for inhaling and exhaling, making breathing easier and more effective. Our nurses set up and monitor BiPAP devices, track compliance, and check oxygen saturation. We provide hands-on training for families to manage the therapy safely at home. By ensuring proper usage and adjusting care as needed, we help children maintain stable breathing patterns, reduce hospital visits, and enjoy improved comfort both day and night.
Ventilator-Dependent Care
Children who rely on ventilators require round-the-clock monitoring and skilled nursing care. We manage ventilator settings, ensure equipment function, and respond immediately to alarms or changes in the child’s condition. Nurses perform routine suctioning, monitor oxygenation, and provide emergency interventions when necessary. Families are trained in daily care tasks and emergency protocols to ensure confidence in managing the ventilator at home. Our team provides ongoing support and coordinates with physicians to adjust treatment as needed. This specialized care allows ventilator-dependent children to remain at home while staying safe, comfortable, and supported.
Cerebral Palsy Care
Children with cerebral palsy often face challenges with movement, muscle tone, and daily activities. Our nurses provide specialized care, assisting with feeding, positioning, and mobility exercises to prevent complications. We manage medications for muscle spasms, monitor for seizures, and coordinate with physical and occupational therapists to promote independence. By focusing on comfort and functionality, we help children maintain their health and maximize their potential. Our care extends to supporting families by teaching them safe handling techniques and creating individualized plans that improve quality of life for both children and caregivers.
Neurological Disorders Care
Neurological conditions such as spina bifida, brain injuries, or developmental disorders require attentive and ongoing skilled care. Our nurses monitor neurological signs, manage medications, and watch for complications like seizures or changes in mobility. We provide feeding assistance, respiratory support, and daily living care when needed. Nurses collaborate with neurologists and therapists to ensure comprehensive care that addresses medical, physical, and emotional needs. By providing consistent monitoring and intervention, we help children with neurological disorders live more comfortably, safely, and with greater independence at home.
Trach Dependent Care
Children with tracheostomies depend on specialized care to maintain a safe, open airway. Our nurses provide routine trach changes, suctioning, and cleaning to prevent infections or blockages. We monitor oxygen saturation, respond to emergencies, and train families to handle equipment and procedures confidently. With trach care, infection prevention and airway safety are top priorities. By managing tracheostomy care effectively, we ensure children breathe more easily, avoid unnecessary hospitalizations, and enjoy safe, supported lives in the comfort of their homes.
G-Tube Dependent Car
For children who cannot eat or swallow safely, a gastrostomy tube (G-tube) provides essential nutrition. Our nurses manage feeding schedules, administer medications through the tube, and keep the site clean to prevent infections. We monitor for complications like leakage, irritation, or blockages, addressing issues quickly to protect the child’s health. Parents receive training in tube care, troubleshooting, and emergency response. This skilled care ensures children get the nutrients they need for growth and development while maintaining comfort and safety at home.
Oxygen Dependent Care
Some children rely on supplemental oxygen due to respiratory or cardiac conditions. Our skilled nurses set up oxygen systems, monitor usage, and check oxygen saturation levels regularly. We ensure equipment is functioning properly and teach families how to recognize signs of distress or equipment malfunction. By closely monitoring oxygen therapy, we prevent complications like hypoxia and ensure children receive the right amount of support. This allows children to participate more fully in daily life with improved energy, better breathing, and increased independence.
Colostomy and Ileostomy Care
Children with a colostomy or ileostomy require skilled nursing to maintain stoma health and ensure proper waste elimination. Our nurses handle pouch changes, skin care, and monitoring for irritation or infection. We educate families on how to clean the stoma site, manage supplies, and recognize early signs of complications such as leakage or blockages. By providing consistent care, we help children stay comfortable, avoid infections, and live more independently. Families gain confidence in managing ostomy care at home, while children benefit from better health, hygiene, and improved quality of life.
Diabetes Management
Pediatric diabetes requires daily attention to blood sugar monitoring, insulin administration, and diet management. Our skilled nurses assist with glucose checks, insulin injections, and continuous glucose monitoring (CGM) device care. We educate families on recognizing symptoms of hypo- or hyperglycemia and responding quickly to prevent emergencies. Nurses also work with doctors and dietitians to help children balance nutrition and activity levels. With careful monitoring and support, we reduce risks of complications and empower families to manage diabetes effectively, giving children the freedom to grow, play, and learn while staying safe at home.
Seizure Disorder Care
Children with epilepsy or seizure disorders need skilled nursing for prevention, monitoring, and quick response during episodes. Our nurses administer prescribed medications, track seizure patterns, and recognize triggers or warning signs. During a seizure, we provide immediate safety interventions, ensuring the child does not sustain injuries. Families receive training on how to handle seizures and when to seek emergency care. By keeping detailed records and collaborating with neurologists, we help manage seizure activity more effectively. Our support provides peace of mind for families and greater stability for children living with seizure disorders.
Paralysis Care
Children living with paralysis require specialized care to prevent complications and enhance daily comfort. Our skilled nurses assist with positioning, mobility support, and skin integrity checks to prevent pressure sores. We manage bowel and bladder routines, provide assistance with transfers, and ensure respiratory health for children with limited mobility. Families are trained in safe handling techniques and assisted with adaptive strategies to improve independence. By delivering compassionate, hands-on care, we help paralyzed children maintain their dignity, comfort, and health, while supporting families in providing the best possible quality of life at home.
Wheelchair Dependent Care
Children who rely on wheelchairs need skilled care that supports both their medical and physical needs. Our nurses provide assistance with transfers, positioning, and monitoring for skin breakdown caused by prolonged sitting. We coordinate with therapists to ensure proper wheelchair fit and usage, helping children avoid discomfort or secondary complications. Nurses also monitor for changes in mobility, provide medication management, and support daily activities. Families are guided on safe lifting techniques and adaptive equipment use. With our help, wheelchair-dependent children experience greater mobility, comfort, and independence while living safely at home.
Muscular Dystrophy Care
Muscular dystrophy is a progressive condition that affects muscle strength and mobility. Our nurses provide personalized care that includes monitoring respiratory function, assisting with feeding, and managing complications such as contractures. We administer medications, provide mobility support, and ensure children remain as independent as possible. Families receive guidance on safe transfers, positioning, and the use of assistive devices. By coordinating with specialists and therapists, we create a comprehensive care plan that supports both physical and emotional needs. This skilled nursing care allows children with muscular dystrophy to live with dignity, safety, and comfort.
Multiple Sclerosis (MS) Care
Although rare in children, pediatric multiple sclerosis requires specialized nursing care to manage symptoms like fatigue, muscle weakness, and mobility issues. Our nurses assist with medication administration, monitor for flare-ups, and provide support with daily living tasks. We focus on maintaining energy balance and preventing complications from immobility. Families receive education about symptom management and lifestyle adaptations. Nurses also collaborate with neurologists and therapists to optimize care. With consistent support, children with MS can experience fewer relapses, improved independence, and a better quality of life while staying safe in their home environment.
Congenital Heart Defects Care
Children with congenital heart conditions need close monitoring and skilled care to maintain stability. Our nurses check vital signs, monitor oxygen levels, and administer medications prescribed by cardiologists. We help manage feeding, as some children with heart defects may struggle with fatigue during meals. Families are educated on signs of distress such as rapid breathing or poor weight gain. Nurses also coordinate care with cardiology teams for long-term management. This attentive care helps children avoid complications, gain strength, and enjoy more stability in their daily lives.
Kidney Disease and Dialysis Support
Pediatric kidney disease requires ongoing management and skilled nursing support. Our nurses assist with medications, fluid balance, and monitoring for signs of infection or complications. For children receiving dialysis, we provide pre- and post-procedure care, monitor vital signs, and ensure safe access site management. Families are educated about dietary restrictions, hydration needs, and warning signs of kidney issues. With careful monitoring and compassionate care, we help children with kidney disease live healthier, safer lives while minimizing hospitalizations and complications.
Chronic Lung Disease Care
Children with chronic lung conditions such as bronchopulmonary dysplasia or cystic fibrosis benefit from skilled nursing to manage breathing and prevent complications. Our nurses administer respiratory treatments, monitor oxygen levels, and assist with airway clearance techniques. We also provide nutritional support, as lung disease can affect appetite and growth. Families are trained on equipment use, infection prevention, and recognizing signs of respiratory distress. By offering consistent care, we improve children’s breathing, reduce hospital visits, and enhance their overall quality of life at home.
Frequently Asked Questions (FAQ) – Georgia Pediatric Program (GAPP)
1. What is the Georgia Pediatric Program (GAPP)?
GAPP is a statewide initiative that provides comprehensive medical care, resources, and support to children with special healthcare needs. Our mission is to improve the quality of life for children and their families through access to high-quality services and programs.
2. Who is eligible for GAPP services?
GAPP serves children up to age 21 who have special healthcare needs, including chronic illnesses, disabilities, or conditions that require ongoing medical care. Eligibility requirements may vary, so please contact us to determine your child’s specific eligibility.
3. How do I apply for GAPP services?
To apply, simply fill out the online application form available on our website. Once submitted, our team will review your application and follow up with you for any additional information needed.
4. What types of services does GAPP provide?
We offer a range of services to support the healthcare needs of children, including:
Access to specialized medical care
Case management
Assistance with transportation and medical equipment
Family counseling and support
Connection to local community resources and programs
Educational resources for families and healthcare providers
5. Is there a cost to participate in the GAPP program?
GAPP services are primarily funded by state and federal programs, and in most cases, they are provided at no cost to eligible families. However, certain services may require co-pays or additional funding. Our team will assist you in understanding any costs associated with your specific services.
6. How do I know if my child qualifies for special healthcare services under GAPP?
If your child has a chronic condition, disability, or other health challenges that require ongoing medical management, they may be eligible for services. You can contact our intake team for a detailed eligibility assessment.
7. Can GAPP help with school-related issues?
Yes, GAPP provides support with school-based services for children with special needs. This can include coordination with schools to ensure your child receives the necessary accommodations and support, including special education services and individualized healthcare plans.
8. Are there any requirements for ongoing participation in GAPP?
Once enrolled in the program, families will work closely with case managers to ensure that services are being received appropriately. Regular check-ins and assessments are conducted to track your child’s progress and to ensure that their needs are being met. Participation may require periodic updates or additional documentation.
9. Can GAPP help with finding a specialist for my child?
Yes, GAPP has strong relationships with a network of healthcare professionals across Georgia. If your child requires a specialist, we can provide referrals and assist in scheduling appointments with the right providers.
10. What happens if my child’s needs change or they no longer require GAPP services?
If your child’s needs change, our team will work with you to adjust the level of care and services provided. If your child no longer requires services, we will assist with transitioning them to other appropriate programs or resources. We aim to provide continuous support throughout your child’s development.
11. How can I contact GAPP if I need more information?
You can reach our team through the contact form on our website or by calling our helpline. Our staff is available to assist with any questions you may have about services, eligibility, or the application process.
12. Does GAPP offer support for families?
Yes, GAPP understands that managing a child’s healthcare needs can be challenging for families. We offer counseling, peer support groups, and educational resources to help families navigate medical and emotional challenges.
13. What if I need help with transportation to medical appointments?
GAPP offers transportation assistance for eligible families to ensure that children can attend necessary medical appointments. Please speak with your case manager to learn more about this service and how to arrange transportation.
14. How do I stay updated on GAPP programs and services?
You can stay informed by subscribing to our newsletter or checking the website regularly for updates. We also post relevant announcements and resources on our social media platforms.