Anthem BCBSMedium 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 Anthem-affiliated plans and may require changes to existing prior auth workflows and covered service lists.
Action Required
Immediately: Review the full policy details at the provided URL to identify specific services now requiring prior authorization. Update billing system workflows to flag affected procedures for prior auth verification before scheduling. Train staff on new Carelon requirements and update encounter forms as needed.
Plan Types
Commercial
States
OH
Specialties
all-specialties