Updates & Announcements

We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.

Quick References

Please Note: The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

Georgia Pathways

The Pathways to Coverage Program began on July 1, 2023. For more information about the program, please visit https://dch.georgia.gov/georgiapathways.

General Updates

2025Date
Navigate Maintaining Accurate Provider Information06/12/2025
Navigate Prior Authorization Requirement Update06/10/2025
Navigate Policy Updates (3/3) June 202506/01/2025
Navigate Policy Updates (2/3) June 202506/01/2025
Navigate Policy Updates (1/3) June 202506/01/2025
Navigate CareSource Cardiac and Musculoskeletal Surgical Quality and Safety Management Program in Partnership with TurningPoint – REVISION05/28/2025
Navigate Pharmacy Policy Updates May 202505/16/2025
Navigate Prothesis and Orthosis Claims Editing Logic04/21/2025
Navigate Pharmacy Policy Updates April 202504/01/2025
Navigate 2025 Order, Prescribe and Refer (OPR) Update – REVISION03/21/2025
Navigate It's Patient Experience Survey Season03/14/2025
Navigate Policy Update March 202503/10/2025
Navigate PCP Name on Card: What You Need to Know03/07/2025
Navigate Maintaining Provider Information in GAMMIS02/13/2025
Navigate Avalon Policy Updates - Q3 2024 – REVISION02/05/2025
Navigate Prior Authorization Requirement Update02/04/2025
Navigate Policy Updates February 202502/01/2025
Navigate Avalon Policy Updates - Q3 202402/01/2025
Navigate Policy Updates February 202502/01/2025
Navigate 2025 Order, Prescribe and Refer (OPR) Update – This notification has been revised. Please see notification dated 3/21/202501/31/2025
Navigate Update Provider Dental Resources - Policy Clarifications and Revisions – UPDATE01/10/2025
Navigate Newborn RSV Prevention01/13/2025
Navigate Policy Updates January 202501/01/2025
Navigate Evolent Policy Updates January 202501/01/2025
Navigate Policy Updates January 202501/01/2025
Navigate TurningPoint Policy Updates January 202501/01/2025
Navigate Updating Demographics01/01/2025
Navigate Updated Provider Resources - Policy Clarifications and Revisions – This notification has been revised. Please see notification dated 01/10/202501/01/2025
Navigate Interactive Health Library01/01/2025
Navigate 2025 Obstetrics Quality Program01/01/2025
2024Date
Navigate Policy Updates December 202412/01/2024
Navigate CareSource Dental Plan Update11/18/2024
Navigate 1309 Medically Necessary Contact Lenses Policy Notification11/01/2024
Navigate 1330 Specialty Spectacle Lense Policy Notification11/01/2024
Navigate Policy Update - PY-1543 - November 202411/01/2024
Navigate Policy Update - MM-0212 - November 202411/01/2024
Navigate Policy Updates November 202411/01/2024
Navigate Prior Authorization Requirement Update10/22/2024
Navigate Policy Updates October 202410/01/2024
Navigate Hospital Outpatient Lab Pricing Update – Second Revision09/26/2024
Navigate ICD-10-CM Excludes1 Note09/25/2024
Navigate Single Dose Vial-Claims Modifiers09/06/2024
Navigate Pharmacy Policy Updates September 202409/01/2024
Navigate Policy Updates September 202409/01/2024
Navigate Hospital Outpatient Lab Pricing Update Revision08/16/2024
Navigate PeachCare for Kids - Copay Reinstatement08/15/2024
Navigate Prior Authorization Requirement Update08/08/2024
Navigate Policy Updates August 202408/01/2024
Navigate Hospital Outpatient Lab Pricing Update07/10/2024
Navigate CareSource Partnering with LIBERTY Dental Plan – UPDATE07/02/2024
Navigate Avalon Q1 2024 Quarterly Laboratory Policy Updates07/01/2024
Navigate Policy Updates July 202407/01/2024
Navigate Prior Authorization Update06/14/2024
Navigate Provider Satisfaction Survey06/12/2024
Navigate Pharmacy Policy Updates June 202406/01/2024
Navigate Policy Updates June 202406/01/2024
Navigate Clinical Performance Improvement Plan for Postpartum Care and Hypertensive or Pre-Eclampsia Members05/22/2024
Navigate Visit the CareSource Health Equity Webpage for Resources and Trainings!05/16/2024
Navigate Non-Emergency Medical Transportation (NEMT)05/14/2024
Navigate 2024 Member Well-Child Visit and Vaccine Raffle05/10/2024
Navigate NIA/Evolent Policy Updates (Q2 - 2024) - May 202405/02/2024
Navigate CareSource Cardiac and Musculoskeletal Surgical Quality and Safety management Program in Partnership with TurningPoint – UPDATE05/02/2024
Navigate Policy Updates May 202405/01/2024
Navigate Avalon Policy Updates (Q4 - 2023) - May 202405/01/2024
Navigate Provider Portal Claim Submission Tool Update04/11/2024
Navigate Policy Updates April 202404/01/2024
Navigate CareSource Cardiac and Musculoskeletal Surgical Quality and Safety Management Program in Partnership with TurningPoint – This notification has been revised. Please see notification dated 5/2/2403/18/2024
Navigate It's Patient Experience Survey Season!03/12/2024
Navigate Change Healthcare Cybersecurity Incident03/11/2024
Navigate Q3 Avalon Policy Updates03/01/2024
Navigate Policy Updates March 202403/01/2024
Navigate Policy Updates March 202403/01/2024
Navigate Pharmacy Policy Updates March 202403/01/2024
Navigate Closing Diabetes Retinopathy Screening Care Gaps02/19/2024
Navigate Newly Covered Codes for Prior Authorization02/16/2024
Navigate Newborn and NICU Prior Authorization Requirement01/12/2024
Navigate Dental Authorization Request Process01/04/2024
Navigate TurningPoint Policy Updates January 202401/01/2024