MedicaidPrior AuthLow impact
[Georgia] Policy Updates February 2025
CareSource·GA · Sleep Medicine, ENT (Ear, Nose & Throat), Pulmonology·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 13, 2026
Summary
CareSource Georgia Medicaid has revised their policy for Hypoglossal Nerve Stimulation for treating Obstructive Sleep Apnea (policy MM-1283), effective April 1, 2025. This revision includes changes to prior authorization requirements for this specialized sleep disorder treatment.
Action Required
By April 1, 2025: Billing team must review the updated Hypoglossal Nerve Stimulation policy MM-1283 at CareSource.com > Providers > Tools & Resources > Provider Policies for any changes to prior authorization requirements or coverage criteria for sleep apnea treatments. Update prior auth procedures accordingly.