[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management (September 2026 Newsletter)

By November 30, 2026: Billing team must obtain the complete policy documents from the Anthem provider portal at https://providernews.anthem.com/georgia/articles/precertificationprior-authorization-requirement-updates-care-31977 to identify which specific CPT and HCPCS codes require prior authorization updates. Update billing system rules, encounter templates, and provider communication materials for Additional Outpatient and Cardiovascular service categories. Coordinate with front desk and clinical staff to ensure prior authorization requests are submitted before service delivery. Failure to obtain required prior authorizations will result in claim denials.