MedicaidAdministrativeMedium impact
[Georgia] Multiple Procedure Payment Reduction for Therapies
CareSource·GA · Physical Therapy, Occupational Therapy, Speech Therapy·Claims & Billing
We identified it
May 9, 2026
Summary
CareSource Georgia Medicaid is delaying implementation of the Multiple Procedure Payment Reduction (MPPR) policy originally scheduled for February 1, 2026. The policy details remain pending, and providers should await further guidance on the new effective date and specific billing impacts.
Action Required
No immediate action required at this time. Billing team should: (1) Monitor CareSource communications for the revised MPPR implementation timeline and detailed policy specifications; (2) Contact CareSource Health Partner Services at 1-855-202-1058 (Monday-Friday, 8 a.m.-6 p.m. ET) if clarification is needed on how MPPR will affect your practice's therapy billing; (3) Once the new effective date and specific codes are announced, update billing system rules and staff training accordingly to ensure compliant claim submission. Failure to implement MPPR requirements after the new effective date takes effect will result in claim denials.