Anthem BCBSMedium 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 is a fresh policy update that may require immediate changes to prior auth workflows and billing procedures.
Action Required
Immediately: Access the full policy bulletin at the provided URL to review specific prior authorization requirement changes. Billing team and providers should identify which services now require prior auth and update workflow processes accordingly. Update billing system flags and encounter forms as needed based on the detailed requirements.
Plan Types
Commercial
States
NY
Specialties
all-specialties