CommercialPrior AuthMedium impact
Preauthorization List Updates
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth updated their preauthorization lists to accommodate the insourcing of post-acute care services. Some codes were removed from the preauthorization requirement list, meaning certain services may no longer need prior authorization.
Action Required
Immediately: Billing team must review the updated EmblemHealth Preauthorization Lists for GHI PPO City of New York, ConnectiCare Commercial, and ConnectiCare Medicare at the source URL. Update billing system rules to reflect codes removed from preauthorization requirements. Check revision histories for specific effective dates of each change to ensure accurate implementation timing.