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[Georgia] Clinical Performance Improvement Project

CareSource·GA · OB-GYN, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Not stated
We identified it
Aug 19, 2026
Days to comply

Summary

Georgia Medicaid (CareSource) is implementing a Clinical Performance Improvement Project through 2027 focused on maternal health, specifically requiring standardized postpartum depression screening using the NCQA PDS-AD measure. Providers must document screening results accurately and provide appropriate follow-up for positive cases as part of routine postpartum care.

Action Required

Action needed
Immediately: Providers delivering postpartum care must implement standardized postpartum depression screening at routine postpartum visits. Clinical and billing teams should: (1) Ensure EHR/documentation templates include NCQA PDS-AD screening tool or equivalent standardized screening; (2) Train clinical staff on proper screening administration and documentation in medical records; (3) Establish protocols for follow-up care when screening results are positive; (4) Monitor compliance with screening documentation throughout the PIP period through 2027. While this is a performance measure rather than a billing requirement, failure to document screening may affect quality metrics, Star ratings, and potential future reimbursement adjustments. Contact CareSource Provider Services at 1-855-202-1058 or GAProviderRelations@CareSource.com for additional resources and education materials.