CareSourceMedium ImpactPrior Auth

[Ohio] Prior Authorization Requirement Update

Published May 9, 2026

AI Summary

CareSource Ohio has updated their prior authorization requirements for Medicaid and MyCarePlus members. This affects what services require prior approval before they can be covered by the plan.

Action Required

Immediately: Billing team must review the CareSource prior authorization requirement update document at the provided URL to identify specific services now requiring prior auth. Update billing system workflows to flag these services for prior authorization before scheduling or providing care. Train front desk staff to verify prior auth status for CareSource Ohio Medicaid and MyCarePlus patients.

Plan Types

Medicaid

States

OH

Specialties

all-specialties