By September 30, 2026: (1) Billing and clinical staff must access Anthem's Clinical Criteria page to review the detailed requirements for all 27 affected clinical criteria policies (CC-0029, CC-0031, CC-0032, CC-0043, CC-0057, CC-0061, CC-0077, CC-0099, CC-0112, CC-0119, CC-0121, CC-0125, CC-0128, CC-0130, CC-0151, CC-0158, CC-0163, CC-0218, CC-0237, CC-0243, CC-0258, CC-0276, CC-0279, CC-0281, CC-0303, CC-0304, CC-0305, CC-0306). (2) Identify which specialty drugs your practice prescribes and obtain the specific clinical criteria requirements for each. (3) Update billing system workflows, prior authorization procedures, and clinical documentation requirements based on the revised criteria. (4) Alert providers and clinical staff about changes to medical necessity requirements for affected drugs; these revised policies may affect claim approvals and reimbursement. (5) Contact Anthem provider relations at the email address provided in the bulletin if authorization requirements are unclear. (6) Train front desk and billing staff on new documentation requirements. Failure to implement these changes by the effective date may result in claim denials for services that do not meet the new or revised clinical criteria.