[California] Prior authorization requirement changes

By December 31, 2026: Billing team must update billing software and prior authorization workflows to require precertification/prior authorization for all 80+ codes listed above when billing Anthem Blue Cross Medi-Cal Managed Care members. Update encounter forms and provider order entry systems to flag these codes for mandatory prior auth submission before claims are processed. Establish procedure to submit prior auth requests through Availity Essentials or via phone to Medi-Cal Customer Care Center. Train all billing staff and providers on the new requirements. Communicate with wound care, orthopedic, neurosurgery, and general surgery providers that these materials and devices now require precertification. Failure to obtain prior authorization will result in claim denials and service deemed ineligible for payment.