CareSourceMedium ImpactPrior Auth
[Ohio] Prior Authorization Requirement Update
Published May 9, 2026
AI Summary
CareSource Ohio Medicaid has implemented new prior authorization requirements for skin substitutive therapy procedures. This affects billing for wound care and skin graft procedures that may be performed in various medical specialties.
Action Required
Immediately: Billing team must review the full policy document at the provided URL to identify specific CPT/HCPCS codes requiring prior authorization for skin substitutive therapy. Update billing system to flag these procedures for prior auth verification before scheduling. Train clinical staff to obtain prior authorization before performing covered procedures to prevent claim denials.
Plan Types
Medicaid
States
OH
Specialties
dermatology, wound-care, plastic-surgery, general-surgery, ortho, vascular-surgery