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) network requirements for providers. This affects which providers can order, prescribe, and refer services within the CareSource network, potentially impacting referral workflows and claims processing.
Action Required
By January 1, 2025: Billing and referral staff must verify that all referring providers are enrolled in CareSource's 2025 OPR network before processing referrals or orders. Update referral tracking systems to include OPR enrollment verification. Contact CareSource to confirm current provider enrollment status and obtain updated network directory.
Plan Types
Medicaid
States
GA
Specialties
all-specialties