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MedicaidAdministrativeMedium impact

[Georgia] Policy Updates August 2025

CareSource·GA · Neurology, Cardiology, Endocrinology·Medical Policy
Effective date
Sep 1, 2025
We identified it
Jun 13, 2026
Days to comply
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Summary

CareSource Georgia Medicaid has issued two policy updates: a new policy for Autonomic Nerve Testing (MM-1767) effective October 1, 2025, and revisions to Modifier 25 reimbursement rules (PY-1361) effective September 1, 2025. This is part of their monthly consolidated policy update cycle.

Action Required

Action needed
By September 1, 2025: Review the revised Modifier 25 policy (PY-1361) at CareSource.com provider portal and update billing procedures accordingly. By October 1, 2025: Review the new Autonomic Nerve Testing policy (MM-1767) to understand coverage criteria and billing requirements for these procedures.

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