Anthem BCBSMedium ImpactPrior Auth
[Ohio] Prior authorization requirement updates — Carelon Medical Benefits Management
Published May 27, 2026
AI Summary
Carelon Medical Benefits Management has updated prior authorization requirements for Ohio providers. This affects Anthem-affiliated plans in Ohio and may require changes to existing prior auth workflows for certain medical services.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services requiring updated prior authorization. Update billing system prior auth rules for affected procedures. Train staff on new Carelon Medical Benefits Management requirements for Ohio Anthem members.
Plan Types
Commercial
States
OH
Specialties
all-specialties