Anthem BCBSMedium ImpactCoverage
[California] Clinical Criteria updates
Published May 18, 2026
AI Summary
Anthem Blue Cross has updated clinical criteria for certain medical services and procedures in California. The bulletin provides notice of changes to coverage guidelines that may affect prior authorization requirements and claim processing.
Action Required
Immediately: Billing team should access the full policy details at the provided URL to review specific clinical criteria changes. Check for any services your practice provides that may have updated prior authorization or documentation requirements. Update internal protocols based on the detailed criteria outlined in the complete bulletin.
Plan Types
Commercial
States
CA
Specialties
all-specialties