MedicaidCoverageMedium impact
[Georgia] May 2026 Policy Updates
CareSource·GA · Psychiatry, Plastic Surgery, Pain Management +2 more·Medical Policy
Effective date
Jul 1, 2026
We identified it
Jun 13, 2026
Summary
CareSource Georgia Medicaid has revised five medical policies effective July 1, 2026, covering Applied Behavior Analysis for Autism, Breast Reconstruction Surgery, Breast Reduction Surgery, Facet Joint Interventions, and Radiofrequency/Microwave Ablation of Tumors. This is a notification of policy revisions with no specific billing code changes mentioned in the summary document.
Action Required
By June 30, 2026: Billing team must review the full revised policies for MM-0212 (ABA for Autism), MM-0732 (Breast Reconstruction), MM-0253 (Breast Reduction), MM-0974 (Facet Joint Interventions), and MM-1350 (Radiofrequency/Microwave Ablation) at CareSource.com > Providers > Tools & Resources > Provider Policies. Update billing procedures, prior authorization requirements, and documentation standards based on the detailed policy changes found in each full policy document.