MedicaidAdministrativeMedium impact
[Ohio] State communication: Ohio Department of Medicaid Telehealth Guidelines
Anthem BCBS·OH·Telehealth
Effective date
Jan 1, 2026
We identified it
May 27, 2026
Summary
The Ohio Department of Medicaid has issued updated telehealth guidelines effective January 1, 2026. The specific policy details are contained in a referenced PDF document that is not fully displayed in this communication. Billing teams must review the complete PDF guidelines to understand any changes to telehealth coverage, billing, or documentation requirements for Ohio Medicaid and MyCare Ohio beneficiaries.
Action Required
By December 31, 2025: Billing team and clinical staff must obtain and review the complete Ohio Department of Medicaid Telehealth Guidelines PDF (referenced in the Anthem communication). Identify any changes to telehealth billing codes, prior authorization requirements, documentation standards, or covered services. Update billing software, encounter forms, and provider training materials accordingly for dates of service on or after January 1, 2026. Document all changes in compliance procedures. Failure to implement required changes may result in claim denials for telehealth services provided to Ohio Medicaid/MyCare Ohio members.