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[Georgia] Medical Policy Update
Act
by Jan 1, 2027
Effective date
Jan 1, 2027
Identified
Nov 3, 2026
Summary
CareSource Georgia Medicaid is revising three medical policies effective January 1, 2027 and December 1, 2026. The notice lists policy updates but does not specify what changed within each policy. To understand billing and authorization requirements, your practice must access the full revised policies on CareSource.com.
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What to do
by Jan 1, 2027 · 5 steps
01Review the full revised Medical Car Seats policy (MM-1443) and Myoelectric Lower Extremity Prosthetic Technology policy (MM-1222) on CareSource.com under Providers > Tools & Resources > Provider Policies, selecting Georgia Medicaid.
02For Non-Invasive Home Mechanical Ventilation (E0466, policy MM-1700, effective December 1, 2026): review that policy immediately.
03Compare each revised policy against the archived previous version to identify changes in coverage, prior authorization requirements, billing codes, or documentation.
04Update charge entry, prior authorization workflows, and provider and front desk staff communications accordingly based on the specific changes identified.
05Billing team should verify whether prior auth is now required, codes have been added or removed, or documentation requirements have changed for each affected service.
Codes mentioned
E0466
Original notice
[Georgia] Medical Policy Update
caresource.com · Always check the source before changing claims.