Medicare AdvantagePrior AuthMedium impact
[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management (July 2026 Newsletter)
Anthem BCBS·GA·Provider Bulletin
Effective date
Oct 1, 2026
We identified it
Jun 17, 2026
Summary
Anthem Blue Cross Blue Shield of Georgia has updated precertification and prior authorization requirements through Carelon Medical Benefits Management, with specific changes to genetic testing authorization effective October 1, 2026. This affects Medicare Advantage plans in Georgia.
Action Required
Before October 1, 2026: Billing team must review updated prior authorization requirements for genetic testing services through Carelon Medical Benefits Management. Update billing workflows to ensure proper precertification is obtained for affected genetic testing procedures. Visit the provided URL (https://providernews.anthem.com/georgia/articles/precertificationprior-authorization-requirement-updates-care-30466) to access complete requirement details.