Georgia Medicaid Behavioral Health Billing: Manuals, Codes and Payers
Georgia Medicaid pays for community behavioral health through the Community Behavioral Health Rehabilitation Services (CBHRS) manual, and most members are enrolled with one of three care management organizations. This page lists the state manuals, the plans, and the HCPCS codes we could confirm. Checked against state sources on 9/30/26.
Get My Free ConsultationIn this guide
- ✓ State manuals and fee schedules
- ✓ Georgia Families CMOs with provider links
- ✓ HCPCS codes confirmed in the CBHRS manual
- ✓ What is changing in 2026 and 2027
Georgia Medicaid Billing at a glance
This page covers georgia medicaid billing for behavioral health claims: where the state provider manuals and code lists live, and which HCPCS codes apply to psychotherapists and psychiatrists. Rules vary by state and by payer, so confirm current requirements with the state Medicaid agency before you bill.
Use this Georgia Medicaid Billing guide as a starting point. Georgia Medicaid Billing rules differ by plan, so check whether a claim goes to the state fee-for-service program or to a managed care plan. Keep a copy of the current Georgia Medicaid Billing manual your practice follows, and review your Georgia Medicaid Billing process whenever the state issues an update.
Georgia Medicaid at a glance
The Georgia Department of Community Health (DCH) runs Medicaid. Members in the Georgia Families program are enrolled with a care management organization (CMO) that pays their claims. Fee-for-service claims go through the GAMMIS portal.
State manuals and fee schedules
| Document | Issued by | What it shows |
|---|---|---|
| Provider Manuals page (CBHRS listed, release 07/01/2026) | Georgia DCH via GAMMIS | Open the manuals page More than 150 manuals are listed. |
| Fee Schedules page (Physician Fee Schedule effective 07/01/2026) | Georgia DCH via GAMMIS | Open the fee schedules page 61 documents over 2 pages; we did not find a CBHRS schedule on page 1. |
| CBHRS Part II manual, 10/01/2024 version | Georgia DCH | Open the 10/01/2024 PDF The portal now shows a 07/01/2026 release, so this file is probably replaced. Use the manuals page for the current copy. |
| Community Provider Manuals (FY2027) | Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) | DBHDD provider manuals Updated quarterly. |
| Medicaid agency homepage | Georgia DCH | medicaid.georgia.gov |
Georgia Families care management organizations
Three CMOs are contracted for physical and behavioral health. We found no separate behavioral health carve-out plan.
| Plan | Provider site |
|---|---|
| Amerigroup Community Care | Provider site Manual sits under "Provider Manuals, Policies & Guidelines." Portal: Availity. |
| CareSource Georgia | Provider manual page |
| Peach State Health Plan | Forms and resources |
Georgia Families 360° (foster care and adoption assistance) runs through the CMO contract. We did not confirm which plan serves it today.
HCPCS codes in the CBHRS manual
Read from the 10/01/2024 manual; re-check each row against the current 07/01/2026 release before you bill.
| Code | What the manual calls it |
|---|---|
| H0031, H0032 | Behavioral health assessment and service plan development |
| H2011 | Crisis intervention |
| H2015 | Community Support, Individual |
| H2017 | Psychosocial Rehabilitation, individual and group |
| H2014 | Skills training and development (listed with group and family outpatient services) |
| H0036 | Intensive Family Intervention |
| H0038 | Peer Supports |
| H0039 | Assertive Community Treatment (confirm against the PDF; H0040 is the usual ACT code elsewhere) |
| H0040, H2019, H2020, T1017 | Not found in the manual text we read. Do not assume Georgia covers them. |
The manual also lists modifiers U1 to U5, U6, U7, HE, HK, GT and UK. H2017 and T1017 stay flagged as unverified in-home codes in our guides; in Georgia H2017 is Psychosocial Rehabilitation, not an in-home service.
What is changing
Current as of the last search. Reconfirm before publishing or billing.
- CMO procurement. DCH named CareSource, Humana, Molina and UnitedHealthcare in December 2024. As of 4/23/26 the state said the award was in the protest phase. Current CMO contracts are extended through 6/30/2027. Georgia Families news
- CBHRS manual. The portal shows a 07/01/2026 release. Compare it with the 10/01/2024 version.
- Pathways expiry (12/31/2026) and work requirements (1/1/2027). We did not verify these dates in this pass.
Georgia Medicaid billing: frequently asked questions
Which manual covers behavioral health billing in Georgia Medicaid?
The Community Behavioral Health Rehabilitation Services (CBHRS) manual, published on the GAMMIS provider manuals page. The portal lists a 07/01/2026 release. Use that version, and read your CMO manual alongside it.
Who pays Georgia Medicaid claims?
Most members are in Georgia Families. Amerigroup Community Care, CareSource and Peach State Health Plan pay their claims. Fee-for-service claims go through GAMMIS.
Does Georgia cover H0040?
We did not find H0040 in the CBHRS text we read. The manual lists H0039 for assertive community treatment. Check the current PDF and ask your CMO before billing.
Is the CMO contract changing?
The procurement was in protest as of 4/23/26, and current contracts run through 6/30/2027. Check the Georgia Families news page for updates.
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