MedicaidAdministrativeMedium impact
[Georgia] Routine Vision Vendor Change to EyeMed Starting 2/1/2026
CareSource·GA · Ophthalmology, Optometry·Specialty Services
Effective date
Feb 1, 2026
We identified it
May 9, 2026
Summary
CareSource Georgia Medicaid is switching routine vision benefit administration from Versant/Superior Vision to EyeMed effective February 1, 2026. Billing teams must redirect all routine vision claims submitted on or after 2/1/2026 to EyeMed instead of Versant/Superior Vision. Providers must establish contracts with EyeMed to continue treating CareSource Georgia Medicaid members for routine vision services.
Action Required
By January 31, 2026: (1) Billing team must establish/verify EyeMed provider contract for all locations treating CareSource Georgia Medicaid members. Contact EyeMed at 1-888-581-3648 or visit the EyeMed Georgia provider microsite to initiate contracting. (2) Update billing system routing rules to submit routine vision claims with DOS on or after 2/1/2026 to EyeMed instead of Versant/Superior Vision. (3) Continue submitting routine vision claims with DOS through 1/31/2026 to Versant/Superior Vision. (4) Verify EyeMed online claims system access and train billing staff on member benefit lookup, copay verification, and allowance determination. (5) Medical vision benefit claims continue to Caresource as before—do not route to EyeMed. Failure to contract with EyeMed or route claims correctly will result in claim denials and inability to treat CareSource Georgia Medicaid members for routine vision after the effective date.