CareSourceMedium ImpactAdministrative
[Georgia] 2025 Order, Prescribe and Refer (OPR) Update
Published May 9, 2026Effective January 1, 2025
AI Summary
CareSource Georgia has updated their 2025 Order, Prescribe and Refer (OPR) requirements for providers. This affects which providers can order, prescribe, and refer services for CareSource members in Georgia, potentially impacting billing workflows and provider network participation.
Action Required
By January 1, 2025: Billing team must verify all ordering, prescribing, and referring providers are properly enrolled in CareSource Georgia's OPR network. Update provider database with current OPR status. Ensure all orders, prescriptions, and referrals come from OPR-enrolled providers to prevent claim denials.
Plan Types
Medicaid
States
GA
Specialties
all-specialties