CommercialPrior AuthMedium impact
Preauthorization Updates
EmblemHealth·NY·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
EmblemHealth is updating their preauthorization list for the GHI PPO City of New York Employee Plan, with some codes being removed from prior authorization requirements effective January 1, 2026. This affects billing procedures for NYC employee health plan members.
Action Required
Before January 1, 2026: Billing team must review the EmblemHealth GHI PPO City of New York Preauthorization List revision history to identify which codes no longer require prior authorization. Update billing system rules and staff training for NYC employee plan members to reflect removed preauthorization requirements.