CommercialPrior AuthMedium impact
[Virginia] Medical Policies and Clinical Utilization Management Guidelines update
Anthem BCBS·VA·Prior Authorization
We identified it
Jun 13, 2026
Summary
Anthem Virginia has updated their Medical Policies and Clinical Utilization Management Guidelines, which may affect prior authorization requirements and coverage determinations. This is a very recent update that requires immediate review to identify specific changes to clinical policies.
Action Required
Immediately: Billing team and utilization management staff must access the Anthem Virginia provider portal at the source URL to review the updated Medical Policies and Clinical Utilization Management Guidelines. Identify specific changes to prior authorization requirements, coverage policies, and clinical criteria. Update internal prior authorization workflows and notify providers of any new requirements.