Georgia Medicaid MNT coverage: codes, limits and referrals
1 row: Medicaid (by state) · Georgia. Public policy, not the member's benefits.
Georgia Medicaid
Children's Intervention Services · Georgia
| 97802 | Listed (with modifier HA) [1] |
|---|---|
| 97803 | Listed (with modifiers HA and TS) [1] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Children's Intervention Services: members from birth to 21 with a physical disability or developmental delay. No dietitian MNT benefit for adults was found in the current manuals. [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 with modifier HA. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | 97802-HA: 1 visit a year; 97803-HA-TS: 12 visits a year; 97804-HA: 12 visits a year. [1] |
| Referral and prior auth | A PCP letter of medical necessity or a PCP-approved plan of care, and the PCP's NPI on every claim. Prior authorization past 8 units per month per specialty; not needed for evaluations. [1] |
| Who can bill | A Georgia-licensed dietitian enrolled as an individual provider. [1] |
| Payment | Maximum allowable: 97802 $28.09; 97803 $23.94; 97804 $13.00. [1] |
- Georgia DCH: Part II Policies and Procedures for Children's Intervention Services (CIS), July 1, 2026 (PDF), checked September 28, 2026
Check a Medicaid claim against the row
Before a Georgia Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see. More on the Georgia Medicaid coverage guide.