What types of policy changes does Anthem BCBS issue?

Anthem BCBS regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does Anthem BCBS update its policies?

Anthem BCBS typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

How many Anthem BCBS policy changes are tracked here?

This page currently tracks 50 documented Anthem BCBS policy changes. New items are added as they are identified.

What should I do when Anthem BCBS changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

Anthem BCBS Policy Changes 2026 | Prior Auth & Coverage Updates

Anthem BCBS Policy Changes & Prior Auth Updates

We track 50 documented policy changes from Anthem BCBS across CA, GA, NY, OH, VA. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original Anthem BCBS notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new Anthem BCBS updates automatically.

Medium impact

[California] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

Anthem BCBS·Identified Jun 13, 2026

Carelon Medical Benefits Management has updated their clinical appropriateness guidelines, which may affect prior authorization requirements and coverage determinations. The specific changes are not detailed in the summary, requiring teams to review the full policy document for affected services and procedures.

[California] Medical Policies and Clinical Utilization Management Guidelines update

[California] Prior authorization requirement changes

[California] Prior authorization requirement changes

[California] Precertification/prior authorization requirement changes

[California] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[California] Clinical Criteria updates

[California] Prior authorization and step therapy updates for medications billed under the medical benefit

[California] Anthem expands specialty pharmacy precertification list

[New York] Prior authorization requirement changes

[New York] Precertification/prior authorization requirement changes

[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[New York] Clinical Criteria updates for specialty pharmacy

[New York] Anthem expands specialty pharmacy precertification list

[Ohio] Medical Policies and Clinical Utilization Management Guidelines update

[Ohio] Precertification/prior authorization requirement changes

[Ohio] Clinical Criteria updates

[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Ohio] Prior authorization and step therapy updates for medications billed under the medical benefit

[Ohio] Referral Dashboard in Care Central for Anthem MyCare Ohio LTSS providers

[Ohio] Required 2026 Model of Care Training Now Available

[Ohio] E/M services correct coding

[Ohio] Anthem expands specialty pharmacy precertification list

[Virginia] Prior authorization requirement changes

[Virginia] Medical Policies and Clinical Utilization Management Guidelines update

[Virginia] Prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Virginia] Anthem expands specialty pharmacy precertification list

[Georgia] Anthem expands specialty pharmacy precertification list

[Georgia] Clinical Criteria updates

[Georgia] Prior authorization requirement updates — Carelon Medical Benefits Management

[Georgia] Precertification/prior authorization requirement changes

[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Georgia] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

[Virginia] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

[Ohio] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

[Ohio] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

[New York] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

[New York] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

[California] Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines effective

[Ohio] New requirement effective

[Ohio] Updating guidance for prior authorization documentation

[Ohio] ODM clarifies Third-Party Liability (TPL) and Coordination of benefits (COB)

[Virginia] Notice of upcoming professional provider amendment

[California] Updated housing deposits for Managed Care members: $5,000 maximum — providers must update authorizations

[Ohio] How care providers can support members in challenging times

[Ohio] Your patients' healthcare journey: understanding their rights and responsibilities

[Ohio] Insights on utilization management for care providers