MedicaidPrior AuthMedium impact
[Ohio] Prior Authorization Requirement Update
CareSource·OH · Wound Care, Dermatology, Plastic Surgery +1 more·Provider Bulletin
We identified it
Jun 13, 2026
Summary
CareSource Ohio Medicaid has updated prior authorization requirements for skin substitution therapy, adding new billing codes to their authorization process. This affects providers who perform wound care and skin substitute procedures for Medicaid patients.
Action Required
Immediately: Billing team should review the updated prior authorization requirements for skin substitution therapy codes. Contact CareSource to obtain the complete list of new codes requiring authorization and update billing system workflows accordingly. Verify authorization requirements before submitting claims to prevent denials.