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MedicaidCoverageMedium impact

[Georgia] April 2026 Pharmacy Policy Updates (6/6)

CareSource·GA · Ophthalmology·Pharmacy
Effective date
May 1, 2026
We identified it
May 9, 2026
Days to comply

Summary

CareSource Georgia Medicaid has archived the YUTIQ (Fluocinolone Acetonide) pharmacy policy effective May 1, 2026. This notification indicates the policy is no longer active; billing teams must verify current coverage status and prior authorization requirements with CareSource before dispensing or billing for this medication.

Action Required

Action needed
By April 30, 2026: Billing team and pharmacy staff must verify the current status of YUTIQ (Fluocinolone Acetonide) coverage under Georgia Medicaid with CareSource, as the previous policy has been archived. Check CareSource.com > Providers > Tools & Resources > Provider Policies for any replacement policy or updated guidance. Update pharmacy billing system and prior authorization protocols accordingly. Confirm whether prior authorization is still required or if coverage has changed. Failure to verify may result in claim denials or improper billing for this specialty ophthalmic medication.

Affected Billing Codes

J7313