By September 28, 2026: (1) Billing team must access and review all 44 revised Clinical Criteria policies (CC-0002, CC-0010, CC-0024, CC-0027, CC-0029, CC-0033, CC-0042, CC-0048, CC-0051, CC-0063, CC-0072, CC-0087, CC-0092, CC-0094, CC-0101, CC-0102, CC-0105, CC-0106, CC-0107, CC-0108, CC-0111, CC-0114, CC-0116, CC-0124, CC-0130, CC-0143, CC-0145, CC-0153, CC-0158, CC-0160, CC-0162, CC-0165, CC-0169, CC-0175, CC-0188, CC-0201, CC-0206, CC-0207, CC-0209, CC-0225, CC-0240, CC-0252, CC-0262, CC-0264, CC-0274, CC-0276, CC-0281, CC-0284, CC-0285, CC-0294, CC-0299, CC-0302) on the Anthem Clinical Criteria page. (2) Providers and clinical staff must update medical necessity documentation templates and pre-authorization protocols to reflect new or removed requirements. (3) Billing team must verify prior authorization rules via separate Anthem authorization notice (not included in this bulletin). (4) Update internal reference materials and staff training for affected drug products listed. Failure to align claims with revised criteria may result in denials. Note: These criteria apply ONLY to medical drug benefits, not pharmacy services.