MedicaidPrior AuthHigh impact
[Georgia] Prior Authorization Requirement Update
CareSource·GA·Provider Bulletin
We identified it
Jun 13, 2026
Summary
CareSource Georgia Medicaid has updated prior authorization requirements for certain medical services and procedures. This quarterly code update affects which services require prior approval before treatment can be provided to Georgia Medicaid patients.
Action Required
Immediately: Billing team must download and review the updated prior authorization code list from CareSource Georgia Medicaid. Update billing system and encounter forms to reflect new prior auth requirements. Verify prior authorization requirements before scheduling affected services for Georgia Medicaid patients to prevent claim denials.