CareSourceMedium ImpactPrior Auth
[Ohio] Prior Authorization Requirement Update
Published May 9, 2026
AI Summary
CareSource Ohio Medicaid has updated prior authorization requirements for quarterly new codes. This affects billing for newly added procedure codes that now require prior authorization before services are rendered.
Action Required
Immediately: Billing team must review the quarterly new codes list in the CareSource Ohio Medicaid bulletin to identify which newly added codes require prior authorization. Update billing system to flag these codes for prior auth verification before scheduling services. Contact CareSource for prior authorization on affected procedures to avoid claim denials.
Plan Types
Medicaid
States
OH
Specialties
all-specialties