CareSource Georgia Cuts Medicaid ABA Rates 20%

CareSource Georgia, a Medicaid managed care organization (MCO), is reducing reimbursement for certain Medicaid applied behavior analysis (ABA) therapy provider organizations by 20%, effective May 11, 2026. A notification of the rate cut was sent on March 27, and provider organizations had 45 days to file objections. The health plan made no changes to ABA prior authorization requirements or billing guidelines.

These ABA rate cuts in Georgia are part of a national trend in changes to ABA reimbursement:

New York cut Medicaid ABA rates by 12.5% on October 1, 2025, and another 12.5% cut took place on April . . .