Pursuant to Ohio Revised Code 5160.34, the Ohio Department of Medicaid (ODM) has consolidated links to Medicaid prior authorization requirements.  All changes to prior authorization requirements for ODM-administered services and Managed Care Organization-administered services can be accessed via links on this web page.

Developmental Disabilities

Fee for Service

• Entering a Prior Authorization
• Prior Authorization Error Message
• Services Provided in an Ambulatory Surgical Center
• Services Provided in an Inpatient Hospital
• Services Provided in an Outpatient Hospital
  • Behavioral Health Services Provided in an Outpatient Hospital

Long-Term Services and Supports
Behavioral Health Services Provided in the Community

Managed Care/MyCare Ohio

• Aetna
• Buckeye Health Plan
• CareSource
• Molina Healthcare
• Paramount Advantage
• UnitedHealthcare Community Plan

Non-Institutional
Pharmacy