CareSourceHigh ImpactPrior Auth
[Ohio] Prior Authorization Requirement Update
Published May 9, 2026
AI Summary
CareSource Ohio has updated their prior authorization requirements for Q4 2024. This bulletin contains updates to PA codes that will affect which services require prior authorization approval before rendering care to CareSource members.
Action Required
Immediately: Download and review the complete PA code update document from CareSource Ohio. Update billing system and encounter forms to reflect new prior authorization requirements. Train staff on which services now require PA approval. Verify PA requirements before scheduling procedures to prevent claim denials.
Plan Types
Medicaid
States
OH
Specialties
all-specialties