GA · guidance
Ga. Medicaid Part II Policies & Procedures for Hospital Services, Appendix C
Outpatient Hospital and Ambulatory Surgical Center Procedures Requiring Prior Approval
Please refer to the Part II Policies and Procedures for Physician Services Appendix E, O and L (Radiology Codes)
for a list of procedure codes that must be pre-certified and/or prior approved before services are rendered in the
Outpatient Hospital or Ambulatory Surgical Center setting.
Note that Prior Approval for some procedures, including but not limited to Tonsillectomies and/or
Adenoidectomies, Hysterectomies, and Cataract procedures, can be completed by telephone, written submission,
or web portal submission. Other procedures are limited to submission in writing or via web portal. For further
information, contact the Georgia Health Partnership at (404) 298-1228 (Metro Atlanta) or (800) 766-4456 (Toll
free).
Provenance
- Source
- www.mmis.georgia.gov
- Retrieved
- 2026-10-01
- Edition
- pp-hospital-2026-10-01
- Content hash
35cf9d695c532ceae237e61a34b5e6504c22a27975614f2cd73acc10c8ea5745
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