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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: To: From: Subject: Effective Date: February 20, 2026 Ohio Medicaid Providers CareSource Prior Authorization Requirement Update March 23, 2026 Summary This notification announces prior authorization changes effective March 23, 2026 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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[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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