MedicaidPrior AuthMedium impact
[Ohio] Prior Authorization Requirement Update
CareSource·OH·Provider Bulletin
We identified it
Jun 13, 2026
Summary
CareSource Ohio Medicaid has updated prior authorization requirements for Q1, affecting specific medical codes and procedures. This is a quarterly update that modifies which services require prior approval before treatment.
Action Required
Immediately: Download and review the complete policy document from CareSource to identify specific codes and services affected by the Q1 prior authorization changes. Update billing system settings to reflect new prior auth requirements for Ohio Medicaid patients. Notify providers of any newly required prior authorizations to prevent claim denials.