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[Georgia] Prior Authorization Requirement Update
Act
by Dec 31, 2025
Effective date
Jan 1, 2026
Identified
Jun 13, 2026
Summary
CareSource Georgia Medicaid is adding prior authorization requirements for 130 specific billing codes effective January 1, 2026. This revised notification includes laboratory codes, durable medical equipment, orthotics/prosthetics, and skin substitutes that will require prior authorization approval before services can be provided.
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What to do
by Dec 31, 2025 · 4 steps
01Billing team must update authorization tracking system to require prior authorization for all 130 listed codes before providing services to CareSource Georgia Medicaid members.
02Contact Provider Services at 1-800-202-1058 for authorization requests.
03Update encounter forms and EMR alerts to remind providers.
04Claims will be denied without proper prior authorization.
Codes mentioned
A2030A2031A2032A2033A2034A2035A6515A6516A6517A6518A6519A6611C8005E0201E1022E1023E1032E1033E1034E1832L0720L1933L1952L5827L6028L6029L6030L6031L6032L6033L6037L6700L7406Q4354Q4355Q4356Q4357Q4358Q4359Q4360Q4361Q4362Q4363Q4364Q4365Q4366Q4367Q4368Q4369Q4370Q4371Q4372Q4373Q4375Q4376Q4377Q4378Q4379Q4380Q4381Q4382S4024T1040
Original notice
[Georgia] Prior Authorization Requirement Update
caresource.com · Always check the source before changing claims.
Related changes
See all CareSource changes →[Ohio] Prior Authorization Requirement UpdateHighEffective Jan 1, 2026 · Provider Bulletin[Georgia] Prior Authorization Requirement UpdateHighEffective Jan 1, 2026 · Provider Bulletin[Indiana] Community Behavioral Health Clinics Services Billing ReminderHighEffective Jan 1, 2025 · Claims & Billing[Georgia] Prior Authorization Requirement UpdateHighEffective Aug 1, 2026 · Provider BulletinBrowse every CareSource change in the policy list
Related policy hubs
CareSource policiesGA policy changesOrthopedicsPM&R (Physical Medicine & Rehab)Wound CareCode A2030Code A2031Code A2032Code A2033Code A2034Code A2035Code A6515Code A6516Code A6517Code A6518Code A6519Code A6611Code C8005Code E0201Code E1022Code E1023Code E1032Code E1033Code E1034Code E1832Code L0720Code L1933Code L1952Code L5827Code L6028Code L6029Code L6030Code L6031Code L6032Code L6033Code L6037Code L6700Code L7406Code Q4354Code Q4355Code Q4356Code Q4357Code Q4358Code Q4359Code Q4360Code Q4361Code Q4362Code Q4363Code Q4364Code Q4365Code Q4366Code Q4367Code Q4368Code Q4369Code Q4370Code Q4371Code Q4372Code Q4373Code Q4375Code Q4376Code Q4377Code Q4378Code Q4379Code Q4380Code Q4381Code Q4382Code S4024Code T1040