CareSourceMedium ImpactPrior Auth

[Ohio] Prior Authorization Requirement Update

Published May 9, 2026Effective February 1, 2026

AI Summary

CareSource Ohio Medicaid has updated prior authorization requirements for skin substitute therapy services, introducing new billing codes effective February 2026. This change affects dermatology and wound care practices serving Ohio Medicaid patients.

Action Required

Before February 1, 2026: Billing team must review the updated prior authorization requirements for skin substitute therapy services in Ohio Medicaid. Update billing software to flag these services for prior auth verification. Contact CareSource to obtain complete policy details and new code requirements from the referenced document.

Plan Types

Medicaid

States

OH

Specialties

dermatology, wound-care, plastic-surgery