CareSourceMedium ImpactReimbursement
[Georgia] Multiple Procedure Payment Reduction for Therapies
Published May 9, 2026
AI Summary
CareSource is implementing Multiple Procedure Payment Reduction (MPPR) for therapy services in Georgia, which will reduce reimbursement for multiple therapy procedures performed on the same day. This affects payment calculations for physical therapy, occupational therapy, and speech-language pathology services.
Action Required
Review the CareSource policy document at the provided URL to understand specific MPPR implementation details and payment reduction percentages. Update billing team training on MPPR rules for therapy services. Verify billing system correctly applies payment reductions for multiple therapy procedures on same service date.
Plan Types
All Plans
States
GA
Specialties
physical-therapy, occupational-therapy