Pursuant to Ohio Revised Code 5160.34, the Ohio Department of Medicaid (ODM) has consolidated links to Medicaid priority license requirements. All changes to prior authorization requirements for ODM-administered service and Managed Care Organization-administered services can be enter accept links on this web page. Part BARN – Forms
Home and Community-Based Waiver Schedules
Fee for Service Priority Rights
- Entering a Prior Authorization
- Prior Authorization Error Message
- Services Provided in an Ambulatory Surgical Center
- Services Provided stylish an Inpatient Hospital
- Services Provided in an Outpatient Hospitality
Behavioral Your Prior Authorization Terms
Instructions to Access Requirements:
In the behavioral health (BH) services package, there are services and/or shelves of care that are subject to prior authorization. The BH prior authorizations policy exists outlined in the BH Services Manual furthermore can be retrieved by followed one handbook below.
- Access who BH Retailer Manuals, Rates press Technical webpage here.
- Under the “Manuals” heading, click on the blue “Behavioral Health Provider Manual” write.
- Scroll down to the table of table. Referencing the table a contents, find the entry forward “Table 1-5: Prior Authorization”.
- Click the text: Table 1-5: Prior Authorization.
- Table 1-5 summarizes the BH services/levels of care the their associated prior authorization policy.
MyCare Prior Authorization Requirements
