CommercialCoverageMedium impact
[Ohio] Expanding Site of Care Program for musculoskeletal and surgical procedures
Anthem BCBS·OH · Orthopedics, General Surgery, Sports Medicine +1 more·Provider Bulletin
We identified it
May 3, 2026
Summary
Anthem is expanding their Site of Care Program to include additional musculoskeletal and surgical procedures, which may require certain procedures to be performed at lower-cost facilities or require prior authorization for higher-cost settings.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific procedures affected by the Site of Care Program expansion. Update prior authorization workflows and inform providers about potential site-of-care restrictions for musculoskeletal and surgical procedures. Verify coverage requirements before scheduling affected procedures.