Provider Prior Authorization Requirements

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

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

Managed Care/MyCare Ohio

 

Non-Institutional
Pharmacy