Dear AmeriHealth Caritas Ohio Provider,

The Ohio Department of Medicaid recently approved utilization management policies for certain community behavioral health services, effective July 1.

 

AmeriHealth Caritas Ohio will not be implementing the changes until October 1.

• Any services rendered before July 1, will not count toward the authorization thresholds. 
• Services rendered between July 1 and September 30, will count toward the thresholds.

The services that will be subject to utilization management and excluded from authorization can be viewed here:  https://content.govdelivery.com/accounts/OHMEDICAID/bulletins/416eeb5.

 

If you have questions about this communication, please contact the Provider Services department at 1-833-644-6001 or your Provider Account Executive. Thank you for your continued support and commitment to the care of our members.