CommercialAdministrativeMedium impact
[California] QHC compliance: attestation due
Anthem BCBS·CA·Provider Bulletin
Effective date
Jun 30, 2026
We identified it
May 3, 2026
Summary
Anthem Blue Cross is requiring hospitals with more than 50 beds in California to complete and submit a Patient Safety Attestation Form by June 30, 2026, to comply with federal QHP regulations (42 CFR 156.1110). Hospitals must attest to meeting patient safety standards, either through a patient safety evaluation system with PSO reporting or an evidence-based quality improvement initiative. This is an administrative compliance requirement that does not directly affect billing codes but may impact provider contracting and claim processing for hospital services.
Action Required
By June 30, 2026: Billing and provider relations teams must ensure that all participating hospitals with more than 50 beds in California have completed and submitted the Patient Safety Attestation Form to their Anthem provider network manager/contractor. Verify compliance status with each hospital partner before the deadline. Hospitals failing to submit attestation may lose QHP network participation, which could result in claim denials for affected facilities. Coordinate with hospital compliance/quality departments to confirm attestation submission and maintain documentation of compliance for audit purposes.