MedicaidPrior AuthLow impact
[Ohio] Automated Blood Pressure Cuffs - A4670
CareSource·OH · Cardiology, Internal Medicine, Family Medicine +2 more·Provider Bulletin
Effective date
Mar 5, 2025
We identified it
May 9, 2026
Summary
CareSource Ohio Medicaid clarifies that automated blood pressure cuffs (HCPCS code A4670) do NOT require prior authorization. Providers should submit orders directly to participating DME companies, and eligible members can receive a new device once every eight years.
Action Required
Immediate: Billing team should update internal prior authorization requirements documentation to reflect that A4670 does not require prior authorization for CareSource Ohio Medicaid. Remove A4670 from any prior authorization requirement lists or billing system rules for Ohio Medicaid claims. Communicate to providers and front desk staff that orders for automated blood pressure cuffs can proceed directly to DME vendors without prior authorization delays. No claim denials are anticipated if this change is implemented, as it eliminates a requirement rather than adding one.