MedicaidAdministrativeMedium impact
[Georgia] Policy Updates January 2025
CareSource·GA·Medical Policy
Effective date
Mar 1, 2025
We identified it
Jun 13, 2026
Summary
CareSource Georgia Medicaid has updated three policies effective March 1, 2025: Claims Editing and Review, Coordination of Benefits, and Cerumen Removal procedures. The Coordination of Benefits policy revision may impact prior authorization requirements.
Action Required
Before March 1, 2025: Billing team must review the full policy documents for Claims Editing and Review (AD-1176), Coordination of Benefits (PY-1344), and Cerumen Removal (AD-1259) at CareSource.com > Providers > Tools & Resources > Provider Policies. Update billing workflows and encounter forms based on any new requirements identified in these revised policies.