CommercialPrior AuthMedium impact
Preauthorization Lists Revised with CMS’ Quarterly Updates for July 2023
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have updated their preauthorization lists to reflect CMS quarterly code changes for July 2023. Billing teams should use the Preauthorization Check Tool in provider portals to verify which codes require prior authorization, as the lists have been revised with new CMS updates.
Action Required
Immediately: Billing team must check the updated preauthorization lists using the Preauthorization Check Tool in EmblemHealth and ConnectiCare provider portals. Verify current prior authorization requirements for all scheduled procedures and update billing workflows accordingly. The published lists take precedence in case of any discrepancies.