Anthem BCBSHigh ImpactPrior Auth

[Ohio] Prior authorization and step therapy updates

Published May 3, 2026

AI Summary

Anthem has updated their prior authorization and step therapy requirements for Ohio providers. This bulletin outlines changes to which services require prior approval and modifications to step therapy protocols that must be followed before certain treatments can be covered.

Action Required

Immediately: Review the full policy bulletin at the provided URL to identify specific services with updated prior authorization requirements. Update billing system and staff workflows to reflect new prior auth and step therapy requirements. Train staff on new approval processes to prevent claim denials.

Plan Types

All Plans

States

OH

Specialties

all-specialties

[Ohio] Prior authorization and step therapy updates | Anthem BCBS | PolicyChanges.app