MedicaidPrior AuthHigh impact
[Ohio] Prior Authorization Requirement Update
CareSource·OH·Provider Bulletin
We identified it
Jun 13, 2026
Summary
CareSource Ohio has updated prior authorization requirements for Medicaid and Mycare (Medicare-Medicaid) members. This network notification announces changes to which services require prior approval before treatment.
Action Required
Immediately: Billing team must access the CareSource provider portal or review the full policy document to identify specific services now requiring prior authorization. Update billing system workflows to check for prior auth requirements before scheduling or providing services to CareSource Medicaid and Mycare members. Verify authorization status before each encounter to prevent claim denials.