MedicaidPrior AuthMedium impact
[Georgia] Prior Authorization Requirement Update
CareSource·GA · Wound Care, PM&R (Physical Medicine & Rehab), Orthopedics +1 more·Provider Bulletin
Effective date
Apr 1, 2025
We identified it
Jun 13, 2026
Summary
CareSource Georgia Medicaid is adding prior authorization requirements for 10 new medical codes effective April 1, 2025. These codes include wound care products, orthotic devices, and other medical supplies that will require approval before services can be rendered.
Action Required
Before April 1, 2025: Billing team must update prior authorization requirements in billing system for codes C1601, Q4294, Q4295, E2298, Q4304, A4545, A6523, A6524, A6525, and L1320 for CareSource Georgia Medicaid patients. Update encounter forms and notify providers that these codes require prior authorization. Claims submitted without prior authorization will be denied.