CareSourceMedium ImpactCoverage

[Georgia] Policy Update March 2025

Published May 9, 2026Effective March 1, 2025

AI Summary

Georgia Medicaid has updated its policy for Applied Behavior Analysis (ABA) services for Autism Spectrum Disorder effective March 2025. This affects coverage, billing, and documentation requirements for ABA therapy services provided to Medicaid beneficiaries in Georgia.

Action Required

By March 1, 2025: Billing teams providing ABA services for autism spectrum disorder must review and implement updated Georgia Medicaid coverage criteria and documentation requirements. Verify patient eligibility under new guidelines and update billing procedures to comply with revised policy requirements. Non-compliance may result in claim denials for ABA services.

Plan Types

Medicaid

States

GA

Specialties

psychiatry, pediatrics