Anthem BCBSMedium ImpactPrior Auth

[California] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

Published June 9, 2026

AI Summary

Carelon Medical Benefits Management has updated precertification and prior authorization requirements for certain medical services. This affects the approval process for specific procedures and may require changes to existing authorization workflows.

Action Required

Immediately: Billing team should access the full policy details at the provided URL to identify specific services requiring updated prior authorization processes. Review current precertification workflows and update billing system requirements as needed based on the complete policy details.

Plan Types

Commercial

States

CA

Specialties

all-specialties