Anthem BCBSHigh ImpactPrior Auth
[New York] Prior authorization requirement updates — Carelon Medical Benefits Management
Published May 27, 2026
AI Summary
Carelon Medical Benefits Management has updated prior authorization requirements for Anthem plans in New York. This affects which services require prior approval before treatment and may change existing authorization workflows.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services with new prior authorization requirements. Update billing system settings to flag affected procedures for prior auth verification. Train staff on any new authorization workflows for Anthem/Carelon plans. Verify existing authorizations remain valid under new requirements.
Plan Types
Commercial
States
NY
Specialties
all-specialties