Anthem BCBSMedium ImpactPrior Auth
[New York] Prior authorization and step therapy updates
Published May 3, 2026
AI 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.
Plan Types
Commercial
States
NY
Specialties
all-specialties