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[Georgia] SKYGEN Policies
Act
by Oct 31, 2025
Effective date
Nov 1, 2025
Identified
May 9, 2026
Summary
CareSource has updated dental coverage policies for Georgia Medicaid through its partnership with Skygen, effective November 1, 2025. This is a corrected revision of an October 1, 2025 notification that contained errors; the clinical criteria have been revised with accurate information. Dental practices in Georgia must verify all affected procedure codes against the updated Skygen policies in the DentalHub portal.
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What to do
by Oct 31, 2025 · 6 steps
01Billing team and dental providers must access https://www.dentalhub.com/ and verify all affected procedure codes (D-codes listed in this bulletin) against the updated clinical criteria, as this is a corrected revision with accurate information replacing the erroneous October 1, 2025 version.
02Update internal billing systems, claim submission templates, and provider reference materials to reflect the corrected policies.
03Do NOT use the old October notification.
04Training may be required for dental coding and billing staff on any specific coverage changes to these 61 procedure codes.
05Verify prior authorization requirements for each code in DentalHub before submitting claims on or after November 1, 2025.
06Claims submitted with incorrect procedures or missing updated authorizations may be denied.
Codes mentioned
D2740D2928D2931D2932D3310D3320D3330D3410D3426D4210D4240D4241D4260D4270D4341D4342D4910D5110D5120D5130D5140D5211D5212D5410D5411D5421D5422D6240D6750D7210D7220D7230D7240D7250D7280D7284D7310D7311D7320D7321D7471D7961D7962D7970D7971D7997D8020D8030D8080D8670D9222D9223D9230D9239D9243D9248D9420D9610D9630D9920
Original notice
[Georgia] SKYGEN Policies
caresource.com · Always check the source before changing claims.
Related changes
See all CareSource changes →[Indiana] Dental Sedation Coverage Rationale and Clinical Criteria OverviewHighEffective Jan 8, 2025 · Specialty Services[Indiana] Updated Dental Sedation Coverage Rationale and Clinical Criteria OverviewMediumEffective Jan 1, 2025 · Specialty ServicesBrowse every CareSource change in the policy list
Related policy hubs
CareSource policiesGA policy changesDentistryOral & Maxillofacial SurgeryCode D2740Code D2928Code D2931Code D2932Code D3310Code D3320Code D3330Code D3410Code D3426Code D4210Code D4240Code D4241Code D4260Code D4270Code D4341Code D4342Code D4910Code D5110Code D5120Code D5130Code D5140Code D5211Code D5212Code D5410Code D5411Code D5421Code D5422Code D6240Code D6750Code D7210Code D7220Code D7230Code D7240Code D7250Code D7280Code D7284Code D7310Code D7311Code D7320Code D7321Code D7471Code D7961Code D7962Code D7970Code D7971Code D7997Code D8020Code D8030Code D8080Code D8670Code D9222Code D9223Code D9230Code D9239Code D9243Code D9248Code D9420Code D9610Code D9630Code D9920