[Georgia] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

By September 19, 2026: Billing team must review and update prior authorization workflows for radiology, vascular imaging, and cardiology procedures. Update billing system rules to reflect new expanded allowances for CT cerebral perfusion, meniscal tear imaging, knee arthroplasty imaging, spinal imaging, vascular ultrasound, and cardiac imaging procedures. Train staff on modified documentation requirements for osteomyelitis management, TFCC instability, and various cardiac conditions. Review encounter forms to ensure alignment with updated clinical appropriateness guidelines.