Policy Updates Prior AuthorizationMedicaid Managed CareNovember 8, 2024

Program date change announcement

Carelon Medical Benefits Management, Inc. programs for Ohio Medicaid

In the September 2024 edition of Provider News, we announced that we would transition the review of radiology, cardiovascular, musculoskeletal, sleep, and genetic testing requests for our Medicaid members to Carelon Medical Benefits Management effective December 1, 2024.

Note that the implementation of this program has been delayed. A new program date has not yet been determined.

An update will be provided at least 30 days prior to the start of this program. In the meantime, continue to contact us for prior authorization of the services listed above.

Training webinars

The training webinars will be rescheduled and new registration information published when available.

Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.

Anthem Blue Cross and Blue Shield Medicaid is the trade name of Community Insurance Company. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

OHBCBS-CD-072297-24