Anthem BCBSHigh 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 Ohio providers. This affects services that previously may not have required prior auth or changes the process for obtaining authorization.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services now requiring prior authorization. Update billing system workflows to flag affected procedures for prior auth before scheduling. Train staff on new Carelon authorization processes and timelines.
Plan Types
Commercial
States
OH
Specialties
all-specialties