Advocacy in Ohio
The Arthritis Foundation's advocacy program is made up of thousands of people just like you who care about making a difference in the lives of people with arthritis. Help break down barriers to care for patients in Ohio by raising awareness through advocacy.
Arthritis in Ohio
population in Ohio
affected by arthritis
adults living with diagnosed
arthritis in the state
adults in Ohio have activity
limitations caused by arthritis
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State Fact Sheet
Find out how arthritis affects people in Ohio and what you can do to make a difference.
State of Your Health
If you are experiencing a barrier to care, you should contact your insurance commissioner, who can help address your situation. Please be sure to view our Ohio Department of Insurance fact sheet that gives instructions on how to appeal, request an external review or file a complaint with your insurance commissioner.
Prior Authorizaton Reform In Ohio
What is prior authorization?
Many insurers require prior approval before giving you the OK to get an expensive drug. This process can be long and cumbersome, and often creates a significant administrative burden for both patients and providers. Further, it can keep patients from accessing the drugs they need to remain healthy.
How does this new law address prior authorization in Ohio?
In 2016, Ohio passed legislation to address prior authorization and the law went into effect in late 2017.
- For Providers: Insurer must make its prior authorization rules available on website – including specific information or documentation provider must submit; insurer must provide 30-day notice
- For patients: Insurer must make information about policies that clearly identify specific services, drugs or devices for which PA requirement exists available on website. Additionally, there are now faster turnaround times for prior authorization requests (urgent within 48 hours; non-urgent within 10 calendar days). Lastly, insurers must provide specific reason to patient if prescription is denied.
Which patients will benefit from this new law?
The new law will apply broadly to health insuring corporations, sickness and accident insurers as well as the Medicaid managed care plan. To learn if you are covered, contact your insurer and provide your policy number.
What should I do if I experience this barrier to care in Ohio?
If you are experiencing a barrier to care, you should contact your insurance commissioner, who can help address your situation. You can easily find instructions on how to appeal, request an external review, or file a complaint to your Insurance Commissioner with our Department of Insurance one pager, click here to learn more.
Share Your Story
You are the expert of your own experience with arthritis. Share your story with us today!
Advocate for What's Right
As an Arthritis Advocate, you’ll feel good about taking action to make health care more accessible. Help shift the policy and public perception that affects those living with arthritis.