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[Georgia] Administrative/Medical Policy Update (1/2)
Act
by Dec 1, 2026
Effective date
Dec 1, 2026
Identified
Nov 1, 2026
Summary
CareSource Georgia is releasing two policy updates effective December 1, 2026: a revision to the Cystic Fibrosis Testing administrative policy (AD-0842) and a new medical policy for Vein Embolization for Treatment of Pelvic Pain (MM-1844). The billing team must review both policies on the CareSource website to understand specific coverage, coding, and prior authorization requirements before the effective date.
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What to do
by Dec 1, 2026 · 3 steps
01Billing team must access CareSource.com > Providers > Tools & Resources > Provider Policies, select Georgia Medicaid plan, and review the full text of both AD-0842 (Cystic Fibrosis Testing revision) and MM-1844 (Vein Embolization for Treatment of Pelvic Pain new policy) to identify specific billing codes, prior authorization requirements, documentation standards, and coverage criteria applicable to Georgia Medicaid claims.
02Compare the revised AD-0842 policy against its archived previous version to identify specific changes.
03Update billing workflows, claim submission processes, and provider documentation requirements accordingly before claims are submitted under these policies on or after December 1, 2026.
Original notice
[Georgia] Administrative/Medical Policy Update (1/2)
caresource.com · Always check the source before changing claims.