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 for New York providers. This policy change may affect which services require pre-approval and modify step therapy protocols for certain medications or treatments.
Action Required
Immediately: Review the full policy details at the provided URL to identify specific prior authorization and step therapy changes. Update billing workflows and provider protocols based on the new requirements. Train staff on any modified pre-authorization processes to prevent claim denials.
Plan Types
All Plans
States
NY
Specialties
all-specialties