When seeking support services for medically fragile children or individuals with developmental disabilities, Georgia families often encounter three important Medicaid programs: the Georgia Pediatric Program (GAPP), the Comprehensive Supports Waiver (COMP), and the New Options Waiver (NOW). While all three programs provide critical support, they serve different populations and offer unique types of assistance.
Below is a comprehensive guide to help parents and caregivers better understand each program and determine which may be the best fit for their loved one.
Georgia Pediatric Program (GAPP)
What is GAPP?
GAPP is a Medicaid-funded program that offers in-home skilled nursing and personal care support to medically fragile children under 21 who need continuous medical assistance at home.
Eligibility Criteria:
- Under 21 years old
- Medicaid-eligible (or eligible via Katie Beckett Waiver)
- Require skilled nursing or personal care due to a complex medical condition
- Physician documentation confirming medical necessity
Services Covered:
- In-home skilled nursing (RN/LPN)
- Tracheostomy and ventilator care
- Medication management
- Personal care assistance (bathing, feeding, mobility)
- Respite care for family caregivers
Application Process:
- Physician’s order for medical necessity
- Medicaid eligibility proof
- Application submission via Georgia Medicaid
- In-home assessment to determine hours of care
Note: Parental income does not affect eligibility when applying through the Katie Beckett Waiver.
Katie Beckett (Deeming) Waiver
This waiver allows children who wouldn’t normally qualify for Medicaid due to parental income to still access essential medical services by evaluating only the child’s medical condition.
Eligibility:
- Under 18 years old
- Severe physical or developmental disability
- Requires hospital- or nursing-level care
Key Benefits:
- Provides the same services as GAPP
- Helps bypass household income limits
COMP and NOW Waivers
What Are They?
Both the COMP and NOW waivers are designed to help individuals with intellectual and developmental disabilities live independently or with family support in the community.
Key Differences:
- NOW Waiver: For those needing less intensive support
- COMP Waiver: For those needing more comprehensive, possibly 24-hour, care
Eligibility Criteria:
- Must be a Georgia resident
- Diagnosed with an intellectual/developmental disability before age 22
- Meet Medicaid financial and care level requirements
Services Covered:
- Skilled nursing care
- Personal care assistance
- Behavioral therapy
- Community living support (including group homes)
- Day programs
- Job coaching and vocational training
- Transportation to medical and therapy appointments
Application Process:
- Contact DBHDD (Georgia Department of Behavioral Health and Developmental Disabilities)
- Submit medical documentation
- Complete intake evaluation
- Waitlist enrollment (required due to high demand)
Comparison Summary Table
| Feature | GAPP | NOW Waiver | COMP Waiver |
| Eligibility | Medically fragile children < 21 | Individuals w/ developmental disabilities | Individuals w/ developmental disabilities + 24-hr care |
| Funding Source | Medicaid | Medicaid Waiver | Medicaid Waiver |
| Waitlist Required? | No | Yes | Yes |
| Key Services | In-home nursing, personal care | Community support, day programs | Intensive care, residential support |
Frequently Asked Questions
Can my child receive services from both GAPP and a waiver program?
Yes, if the services do not overlap.
Can adults apply for GAPP?
No, GAPP is only for children under 21.
How long is the waitlist for NOW and COMP?
Several months to years, depending on availability.
Can parents be paid caregivers?
Yes, under certain conditions, in the COMP/NOW programs through self-directed service models.
Do I need Medicaid to apply?
Yes. If your child is not eligible, the Katie Beckett Waiver may help.
Need Help Navigating These Programs?
At Advanced Care Partners, we specialize in helping families through the complex application and approval process for Medicaid, GAPP, COMP, and NOW services. Whether you’re just beginning or already enrolled, we’re here to make sure your loved one gets the support they deserve.
Call us today at (404) 835-3512 or visit Advanced Care Partners to learn more.
