MedicaidPrior AuthMedium impact
5160-1-32.1 - Standard authorization form. (New/Final File)
Ohio Medicaid·OH·Prior Authorization
Effective date
Feb 16, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated their standard authorization form for prior authorization requests. This is a procedural change to the form used when submitting prior authorization requests to Ohio Medicaid.
Action Required
Before February 16, 2026: Billing team and providers must obtain and begin using the updated Ohio Medicaid standard authorization form for all prior authorization requests. Replace old forms in workflow systems and train staff on any new form requirements. Contact Ohio Department of Medicaid at 614-752-3877 for questions about the new form.