MedicaidAdministrativeMedium impact
[Ohio] ODM Substance Use Disorder Prior Authorization Request Form
Anthem BCBS·OH · Psychiatry·Specialty Services
Effective date
Sep 1, 2026
We identified it
Sep 2, 2026
Summary
Anthem Blue Cross and Blue Shield Ohio released a new Substance Use Disorder Prior Authorization Request Form effective September 1, 2026. This administrative update establishes the required form and process for obtaining prior authorization for SUD treatment services under Ohio Medicaid and MyCare Ohio plans. Billing teams must implement this form into their prior authorization workflow for all SUD-related claims.
Action Required
By September 1, 2026: Billing team must obtain and implement the ODM Substance Use Disorder Prior Authorization Request Form (available at https://providernews.anthem.com/ohio/articles/odm-substance-use-disorder-prior-authorization-request-form-31877). Update prior authorization procedures to require submission of this specific form for all substance use disorder treatment services billed to Anthem Blue Cross and Blue Shield Ohio Medicaid and MyCare Ohio plans. Train billing and clinical staff on the new form requirements. Communicate form requirements to providers. Failure to use the required form may result in prior authorization denials and claim rejections.