MedicaidPrior AuthMedium impact
[Ohio] Prior Authorization Requirement Update
CareSource·OH · Dermatology, Wound Care, General Surgery +1 more·Provider Bulletin
Effective date
Feb 1, 2026
We identified it
Jun 13, 2026
Summary
CareSource Ohio Medicaid has updated prior authorization requirements for skin substitute therapy services, adding new billing codes and revisions effective February 2026. Medical billing teams must update their authorization workflows for these specific dermatology and wound care procedures.
Action Required
Before February 1, 2026: Billing team must review the complete policy document at the provided URL to identify specific CPT/HCPCS codes requiring prior authorization for skin substitute therapy. Update billing system rules to flag these codes for authorization verification. Train staff on new prior auth requirements for wound care and dermatology procedures to prevent claim denials.