CommercialPrior AuthMedium impact
[California] Prior authorization requirement changes effective
Anthem BCBS·CA·Provider Bulletin
Effective date
Apr 1, 2025
We identified it
May 3, 2026
Summary
Anthem California is implementing changes to prior authorization requirements with an April 1st effective date. The specific details of which services will require new or modified prior auth are not available in this summary-only bulletin.
Action Required
Before April 1, 2025: Billing team must access the full policy details at the provided URL to identify specific services affected by prior authorization changes. Update billing system and encounter forms based on the complete requirements. Train staff on new prior auth workflows to prevent claim denials.