CareSourceHigh ImpactPrior Auth
[Georgia] Prior Authorization Requirement Update
Published May 9, 2026
AI Summary
CareSource has updated prior authorization requirements for Georgia Medicaid providers with new quarterly codes. This affects billing procedures for services that now require pre-approval before rendering care to CareSource Georgia Medicaid members.
Action Required
Immediately: Billing team must download and review the updated prior authorization code list from CareSource Georgia. Update billing system and encounter forms to flag any codes that now require prior authorization. Train staff to verify prior auth requirements before scheduling procedures for CareSource Georgia Medicaid patients. Failure to obtain required prior authorization will result in claim denials.
Plan Types
Medicaid
States
GA
Specialties
all-specialties