CareSourceMedium ImpactPrior Auth

[Ohio] Temporary Waiver of Prior Authorization Requirements for Nursing Home Admissions from Hospital

Published May 9, 2026

AI Summary

CareSource has temporarily waived prior authorization requirements for nursing home admissions from hospital settings in Ohio. This policy change streamlines the transition process for patients moving from hospital to nursing facility care by removing the prior auth barrier.

Action Required

Immediately: Billing team should verify with CareSource that prior authorization is no longer required for nursing home admissions from hospital for Ohio members. Update workflow to skip prior auth step for these transitions. Monitor for policy expiration date as this is a temporary waiver.

Plan Types

Medicaid

States

OH

Specialties

hospitalist, internal-medicine, family-medicine, geriatrics