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[California] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management (June 2026 Newsletter)
Published May 28, 2026
AI Summary
Carelon Medical Benefits Management has updated precertification and prior authorization requirements for California providers. This is a very recent policy change that may affect current authorization processes and claim submissions.
Action Required
Immediately: Review the full policy bulletin at the provided URL to understand specific precertification changes. Billing team should verify current prior authorization requirements with Carelon Medical Benefits Management and update authorization workflows accordingly. Contact Carelon directly for detailed requirements to avoid claim denials.
Plan Types
All Plans
States
CA
Specialties
all-specialties