MedicaidAdministrativeMedium impact
[Georgia] Policy Updates November 2025
CareSource·GA · Psychiatry·Medical Policy
Effective date
Jan 1, 2026
We identified it
May 9, 2026
Summary
CareSource Georgia Medicaid is revising the Behavioral Health Service Frequency Guidelines (PY-1694) effective January 1, 2026. This is a notification that a policy change is coming; the specific clinical or billing impacts cannot be determined from this cover document alone, as the actual policy content details are not provided in the source material.
Action Required
By December 15, 2025: Billing team must access the full Behavioral Health Service Frequency Guidelines policy (PY-1694) on CareSource.com under Providers > Tools & Resources > Provider Policies, select Georgia Medicaid plan. Compare the revised policy to the previous version to identify specific changes to service frequency limits, prior authorization requirements, or billing rules. Review any changes with clinical staff and update billing system configuration, encounter forms, and internal documentation guidelines as needed. Determine impact on behavioral health billing workflows before the January 1, 2026 effective date.