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CareSourceAll Plans · Administrative · Provider BulletinMedium impact

[Ohio] Prior Authorization Requirement Update

Effective date
Not stated in the notice
Identified
Jun 13, 2026

From the original notice

Prior Authorization Requirement Update

Notice Date: June 20, 2025 To: Ohio Medicaid Providers From: CareSource Subject: Prior Authorization Requirement Update Effective Date: July 20, 2025 Summary This notification announces prior authorization changes effective July 20, 2025 to the following: • Skin substitutes • Outpatient therapies • 2025 quarter 1 new codes • Other outpatient services Prior Authorization decisions are made at the individual code level, plan coverage and member eligibility will need to be verified.

Quoted from CareSource's notice on caresource.com. Read the full notice ↗

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What to do

Action · 1 steps
01Manual review required

Original notice

[Ohio] Prior Authorization Requirement Update
caresource.com · Always check the source before changing claims.
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Related changes

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[Ohio] Prior Authorization Requirement UpdateMediumNo effective date · Provider Bulletin[Ohio] Prior Authorization Requirement UpdateHighEffective Jan 1, 2026 · Provider Bulletin[Ohio] Prior Authorization Requirement UpdateMediumEffective May 4, 2026 · Provider Bulletin[Ohio] Prior Authorization Requirement UpdateMediumNo effective date · Provider BulletinBrowse every CareSource change in the policy list

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