Anthem BCBSHigh ImpactPrior Auth

[Ohio] Prior authorization requirement updates — Carelon Medical Benefits Management

Published May 28, 2026

AI Summary

Carelon Medical Benefits Management has updated prior authorization requirements for Ohio providers. This affects services that previously required prior auth and may introduce new authorization requirements for certain procedures.

Action Required

Immediately: Billing team must review the full policy bulletin at the Anthem provider portal to identify specific services with new or changed prior authorization requirements. Update billing system rules and encounter forms to reflect new authorization requirements. Train staff on updated prior auth processes to prevent claim denials.

Plan Types

Commercial

States

OH

Specialties

all-specialties

[Ohio] Prior authorization requirement updates — Carelon Medical Benefits Management | Anthem BCBS | PolicyChanges.app