Anthem BCBSHigh ImpactPrior Auth
[Virginia] Prior authorization requirement updates — Carelon Medical Benefits Management
Published May 29, 2026
AI Summary
Carelon Medical Benefits Management has updated prior authorization requirements for Virginia providers. This policy change affects which services require prior authorization approval before being performed and billed.
Action Required
Immediately: Review the full policy details at the Anthem provider portal to identify specific services with new or changed prior authorization requirements. Update billing system workflows to ensure prior authorization is obtained before performing affected services. Train staff on new requirements to prevent claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties