MedicaidAdministrativeMedium impact
[Georgia] June 2026 Administrative Policy Updates (1/2)
CareSource·GA · Physical Therapy, Occupational Therapy, Speech Therapy +1 more·Medical Policy
Effective date
Aug 1, 2026
We identified it
Jun 6, 2026
Summary
CareSource Georgia Medicaid is revising two administrative policies effective August 1, 2026: Emergency Services (AD-1064) and Outpatient Physical Therapy, Occupational Therapy, and Speech-Language Pathology (AD-0986). This notification announces policy updates but does not detail specific changes; providers must review the full policies online to understand billing and coverage implications.
Action Required
By July 15, 2026: Billing team must access and review the full revised policies for AD-1064 (Emergency Services) and AD-0986 (Outpatient PT/OT/SLP) on CareSource.com under Providers > Tools & Resources > Provider Policies. Select Georgia Medicaid plan to retrieve complete policy details. Compare revised policies against previous versions to identify specific billing code changes, prior authorization requirements, or documentation updates. Update billing system rules, encounter forms, and staff training accordingly before the August 1, 2026 effective date. Document all changes in your compliance file. Failure to implement required changes may result in claim denials or compliance violations.