CommercialPrior AuthMedium impact
[New York] Prior authorization and step therapy updates
Anthem BCBS·NY·Provider Bulletin
We identified it
May 3, 2026
Summary
Anthem has updated prior authorization and step therapy requirements in New York. This policy change affects the approval process for certain medications and treatments, requiring providers to obtain authorization or try alternative treatments first before certain services will be covered.
Action Required
Immediately: Review the full policy details at the provided URL to identify specific medications and services affected. Update prior authorization workflows and step therapy protocols according to new Anthem requirements. Train staff on new authorization requirements to prevent claim denials.