Anthem BCBSHigh ImpactPrior Auth
[New York] Prior authorization requirement updates — Carelon Medical Benefits Management
Published May 28, 2026
AI Summary
Carelon Medical Benefits Management has updated prior authorization requirements for New York providers. This bulletin outlines new or modified services that will require prior authorization approval before treatment.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services requiring new prior authorization. Update billing system workflows to flag affected procedures for prior auth verification. Train staff on new requirements to prevent claim denials.
Plan Types
Commercial
States
NY
Specialties
all-specialties