MedicaidPrior AuthHigh impact
[Ohio] Prior Authorization Requirement Update
CareSource·OH·Provider Bulletin
We identified it
Jun 13, 2026
Summary
CareSource has updated their prior authorization requirements for Q4 2024, affecting specific medical codes and procedures. This policy change modifies which services require pre-approval before treatment can be provided to CareSource members.
Action Required
Immediately: Review the complete policy document at the provided URL to identify specific codes and services with updated prior authorization requirements. Update billing system workflows to ensure prior authorization is obtained for affected services before scheduling or providing treatment. Train staff on new requirements to prevent claim denials.