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[California] Clinical Criteria updates
Anthem BCBS·CA·Provider Bulletin
We identified it
Jun 13, 2026
Summary
Anthem has issued clinical criteria updates for California providers. Without access to the full policy details, the specific changes to coverage criteria, prior authorization requirements, or documentation standards cannot be determined from the summary alone.
Action Required
Immediately: Review the full policy bulletin at https://providernews.anthem.com/california/articles/clinical-criteria-updates-30440 to identify specific clinical criteria changes. Determine which services, procedures, or medications are affected and update internal protocols accordingly. Notify clinical staff of any new documentation requirements or coverage changes.