CommercialPrior AuthMedium impact
Preauthorization Lists Updated with CMS’s Quarterly Update for April 2022
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have updated their preauthorization lists to reflect CMS's quarterly code changes for April 2022. Billing teams should check which codes now require preauthorization using the provider portal tools or updated website lists.
Action Required
Immediately: Billing team must check the Preauthorization Check Tool in EmblemHealth and ConnectiCare provider portals to identify which codes now require preauthorization. Review updated preauthorization lists on both insurance websites. Update internal prior authorization workflows and billing system rules based on the new code requirements. In case of discrepancies, follow the published lists as the authoritative source.