These administrative policies apply to the Georgia Marketplace plans.
Administrative policies offer guidance on determination of medical necessity, investigation and experimental services.
Current Administrative Policies
- Medical Necessity – Off Label
- Medical Necessity Determinations
- Medical Necessity for DAW
- Medical Necessity for Medical Benefit Medications
- Medical Necessity for Non-Formulary Medications
- Medical Record Documentation Standards for Practitioners
- Methadone Treatment Providers
- Molecular Diagnostics Testing
- Multi-ingredient Compound Policy