MedicaidAdministrativeMedium impact
[Georgia] Policy Updates (2/2) - March 2026
CareSource·GA · Cardiology, Pain Management·Medical Policy
Effective date
May 1, 2026
We identified it
May 9, 2026
Summary
CareSource Georgia Medicaid released three revised policies effective May 1, 2026: updates to EKG/ECG Interpretation and Imaging Interpretation (AD-1091), Trigger Point Injections (MM-0221), and Experimental or Investigational Item or Service (AD-0711). This is a policy notification document without specific billing code changes detailed; the actual policy revisions must be reviewed on the CareSource website to determine operational impacts.
Action Required
By April 30, 2026: Billing team must access the full revised policies for AD-1091, MM-0221, and AD-0711 on CareSource.com (Providers > Tools & Resources > Provider Policies > Georgia Medicaid) to identify specific billing code changes, documentation requirements, or authorization criteria. Compare revised policies against archived versions to identify differences. Update billing software, encounter forms, and provider education materials accordingly. Brief clinical and front-desk staff on any workflow changes before the May 1, 2026 effective date. Failure to implement required changes may result in claim denials.