By July 31, 2026: (1) Billing team and clinical staff must access and review all 27 updated clinical criteria documents (CC-0002, CC-0003, CC-0011, CC-0029, CC-0034, CC-0043, CC-0058, CC-0065, CC-0068, CC-0072, CC-0104, CC-0107, CC-0124, CC-0127, CC-0128, CC-0142, CC-0149, CC-0159, CC-0166, CC-0174, CC-0182, CC-0213, CC-0222, CC-0227, CC-0229, CC-0235, CC-0236, CC-0263, CC-0300, CC-0301) on Anthem's Clinical Criteria page to identify specific medical necessity requirement changes. (2) Update billing software, EMR templates, and prior authorization workflows to reflect revised criteria for each drug/agent. (3) Alert prescribing providers of changes to clinical coding edits and documentation requirements for affected specialty medications. (4) Identify any new authorization requirements via separate Anthem notice and incorporate into claim submission protocols. Failure to apply updated criteria may result in claim denials for medical drug benefits on Anthem Medicaid plans in New York.