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Prior Authorization

Prior Authorization: ASC Services

In 2026, CMS will start a 5-year prior authorization demonstration for certain services provided in ASCs in Ohio (Arizona, California, Florida, Georgia, Maryland, New York, Pennsylvania, Tennessee, and Texas).

Beginning on February 2, 2026, Ohio ASCs can submit prior authorization requests for dates of service on or after February 16, 2026.

PA

Prior Auth Process

Exemption

Provider Exemption Process

Forms

Prior Auth Forms & Resources

Blepharolplasty

Blepharoplasty

Injections

Botulinum Toxin Injections

Panniculectomy

Panniculectomy

Rhinoplasty

Rhinoplasty

Vein Ablation

Vein Ablation

 

Updated: 12.01.2025

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