How often is GAPP renewed?
GAPP is renewed every year. Georgia Medicaid's GAPP guidance says the medical form is valid for one year and must be renewed 30 to 60 days before it expires, and families re-sign their program forms yearly. Reviewers can set a different approval length for a child, so always go by the dates on your child's approval.
When to start the renewal
Start 30 to 60 days before the medical form expires. That window exists because a renewal needs a current doctor's visit, updated orders, recent records and signatures, and each of those can take a week or two. At Ava Family Services, our nurses and office track each child's dates and start the renewal with your family and your child's doctor well before the deadline.
What a GAPP renewal includes
A renewal is a fresh look at your child's care, so expect:
- Updated physician orders and a new plan of treatment that reflect your child's needs today.
- Recent medical records that support the plan.
- Program forms your family signs each year, including the letter of understanding and your freedom of choice of agency.
- A new medical review, which approves services for the next period.
Can hours change at renewal?
Yes. Each renewal is a new medical review, so approved hours can go up or down to match your child's current needs. If your child had a hospital stay, new equipment, more seizures or new overnight care this year, make sure the doctor knows before signing the new plan. Our guide to documenting daily care is a good checklist to redo each year.
Don't forget Medicaid's own renewal
GAPP needs active Georgia Medicaid. Medicaid has its own renewal, and if your child's coverage is through Katie Beckett, that is renewed separately too. Put the GAPP date and the Medicaid date on the same calendar.
Renewal is also a good time to ask questions
Every year you re-sign your freedom of choice of agency, which is a reminder that you can choose or change your GAPP provider. If things aren't working, read how switching GAPP agencies works.
Questions about a renewal? Call Ava Family Services at (404) 905-7699, Monday to Friday, 9am to 5pm.
Renewal approvals and hours are decided by Georgia Medicaid's GAPP medical review. Ava prepares the renewal paperwork with your family and your child's doctor.
Official sources (checked 2026-09-27): Georgia Pediatric Program (GAPP) Presentation, GAMMIS (June 2023) · TEFRA / Katie Beckett, Georgia Medicaid
Plain-text copy for AI tools: /guides/gapp-renewal-georgia.md
Related
- How to document your child's daily care for GAPP
Update this list before every renewal.
- Switching GAPP agencies
Your right to change providers, and how to do it safely.
- The 21 Clock
For teens, the renewals and applications that come before 21.

