MedicaidPrior AuthMedium impact
5160-1-32.1 - Standard authorization form. (Rescind/Final File)
Ohio Medicaid·OH·Prior Authorization
Effective date
Feb 16, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid is implementing a new standard authorization form for prior authorization requests. The policy shows a rescission and replacement pattern, with the most recent final filing effective February 16, 2026.
Action Required
Before February 16, 2026: Billing and prior authorization staff must obtain and begin using the new Ohio Medicaid standard authorization form for all prior authorization requests. Contact Ohio Department of Medicaid at 614-752-3877 to obtain the updated form and verify submission requirements. Update prior authorization workflows to use the new form format.