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MedicaidReimbursementHigh impact

Updated PeachCare for Kids® Rate Increases Effective May 1, 2012

Georgia Medicaid·GA · Family Medicine, Internal Medicine, Pediatrics +2 more·Claims & Billing
Effective date
May 1, 2012
We identified it
Jun 20, 2026
Days to comply

Summary

PeachCare for Kids (Georgia Medicaid) increased reimbursement rates for immunizations, office visits, hospital care, and DRG codes effective May 1, 2012. Most immunization administration fees increased to $8.50, office visits saw significant rate increases (some over $60), and DRG codes received a 15% increase.

Action Required

Action needed
By May 1, 2012: Billing team must update PeachCare for Kids fee schedules in billing system with new reimbursement rates for all listed immunization, office visit, hospital care, and DRG codes. Verify system is calculating correct payment amounts for Georgia Medicaid claims to ensure proper reimbursement.

Affected Billing Codes

90633
90634
90636
90647
90648
90649
90650
90655
90656
90657
90658
90660
90670
90680
90681
90696
90698
90700
90702
90707
90710
90713
90714
90715
90716
90718
90723
90732
90733
90734
90744
90746
90747
90748
90471
90472
90473
90474
99201
99202
99203
99204
99205
99212
99213
99214
99215
99217
99231
99232
99233
99234
99235
99236
99238
99239
99281
99282
99283
99284
99285
99291
99292
99305
99306
99307
99308
99343
99344
99347
99348
99349
99354
99355
99356
99357
99460
99461
99462
99463
99471
99472
99475
99476
99477