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CareSourceMedicaid · Administrative · Medical Policy · OH · Gastroenterology, Family Medicine, Internal Medicine +2 moreHigh impact

[Ohio] June 2026 Policy Updates

Act
by Jul 1, 2026
Effective date
Jul 1, 2026
Identified
Jun 13, 2026

Summary

CareSource Ohio Medicaid has released 9 policy updates affecting billing, documentation, and reimbursement practices. Most changes take effect August 1, 2026, including revisions to colonoscopy billing, DME modifiers, itemized billing requirements, and medical record documentation standards.

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What to do

by Jul 1, 2026 · 3 steps
01Billing team must review and implement changes to 9 CareSource Ohio Medicaid policies at CareSource.com > Providers > Tools & Resources > Provider Policies.
02Update billing systems for colonoscopy/sigmoidoscopy procedures, DME modifier usage, itemized billing processes, and medical record documentation standards.
03Train staff on new Community Behavioral Health Services utilization management requirements effective July 1st, with remaining changes effective August 1st.

Original notice

[Ohio] June 2026 Policy Updates
caresource.com · Always check the source before changing claims.
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