Anthem BCBSMedium ImpactCoverage
[California] Clinical Criteria updates
Published May 28, 2026
AI Summary
Anthem has updated their clinical criteria for California providers. This is a summary-only bulletin that requires reviewing the full policy details at the provided URL to understand specific changes to coverage determinations and prior authorization requirements.
Action Required
Immediately: Review the full clinical criteria updates at https://providernews.anthem.com/california/articles/clinical-criteria-updates-29809 to identify specific changes affecting your practice. Update prior authorization workflows and coverage determination processes as needed based on the detailed policy content.
Plan Types
Commercial
States
CA
Specialties
all-specialties