MedicaidAdministrativeMedium impact
[Georgia] Policy Updates December 2025
CareSource·GA·Medical Policy
Effective date
Feb 1, 2026
We identified it
Jun 13, 2026
Summary
CareSource Georgia Medicaid has issued their December 2025 policy updates notification, announcing revisions to three policies: Clinical Trial Coverage (MM-0799), Electronic Data Interchange and Transactions (AD-0084), and Overpayment Recovery (PY-1112). All changes become effective February 1, 2026, but the specific details of each policy revision are not provided in this notification document.
Action Required
Before February 1, 2026: Billing team must review the three revised CareSource Georgia Medicaid policies by visiting CareSource.com > Providers > Tools & Resources > Provider Policies. Click on each policy title (Clinical Trial Coverage MM-0799, Electronic Data Interchange and Transactions AD-0084, and Overpayment Recovery PY-1112) to access full policy details and determine specific workflow changes needed.