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Prior Authorization Requirements
Links to Ohio Medicaid prior authorization requirements for fee-for-service and managed care programs.
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.

Home and Community-Based Waiver Programs

Fee for Service

Behavioral Health Services Provided in the Community

Non-Institutional

Pharmacy