[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management (June 2026 Newsletter)

By August 1, 2026: Billing team must obtain detailed policy specifications from Carelon for each affected service category (cardiovascular, genetic testing, sleep medicine, radiation oncology, radiology, musculoskeletal) to identify which specific CPT/HCPCS codes now require prior authorization. Update billing system and EMR templates to enforce new prior authorization workflows for Medicare Advantage plans. By September 15, 2026: Repeat process for Commercial plans with October 1, 2026 effective date. Notify providers of new authorization requirements by specialty. Train front desk and prior authorization staff on procedures. Alert clinical staff to include authorization requests in care planning. Failure to obtain required prior authorizations will result in claim denials and payment delays.