Anthem BCBSMedium ImpactPrior Auth
[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management
Published May 27, 2026
AI Summary
Carelon Medical Benefits Management has updated precertification and prior authorization requirements for certain medical services in Ohio. This affects Anthem-affiliated plans and may require changes to existing prior auth workflows.
Action Required
Immediately: Billing team should access the full policy details at the provided URL to identify specific services requiring updated prior authorization. Review current prior auth workflows for Anthem/Carelon plans and update billing system requirements accordingly. Contact Carelon directly for clarification on specific procedure requirements if needed.
Plan Types
Commercial
States
OH
Specialties
all-specialties