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MedicaidAdministrativeMedium impact

[Georgia] Policy Updates (1/2) - March 2026

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

Summary

CareSource Georgia Medicaid is implementing a revision to the Three-Day Window Payment policy (AD-0999) effective May 1, 2026. This administrative policy change affects how payments are processed for Georgia Medicaid claims. The full policy details are available on CareSource's provider portal and should be reviewed to determine specific billing workflow impacts.

Action Required

Action needed
By April 15, 2026: Billing team must access the full Three-Day Window Payment policy (AD-0999) from CareSource.com > Providers > Tools & Resources > Provider Policies, select Georgia Medicaid plan, and review the revised policy against the previous version. Identify any changes to claim submission timelines, payment processing procedures, or documentation requirements. Update billing software configuration, claim submission workflows, and staff training materials accordingly. Ensure all staff submitting Georgia Medicaid claims understand the revised requirements to prevent payment delays or denials. Flag any policy changes that conflict with current internal procedures for management review.