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Summary of Provider Newsroom U.S. commercial medical articles

Published May 5, 2026

AI Summary

This is a monthly summary of Cigna Healthcare provider newsroom articles from April 2026, covering multiple policy updates including prior authorization standardization, 270/271 eligibility transaction improvements, specialty drug list expansions, and new behavioral health criteria adoption in Colorado.

Action Required

Review the individual policy articles referenced in this summary for specific implementation requirements. Key items requiring action include: updating systems for enhanced 270/271 eligibility transactions (effective April 24, 2026), preparing for drug formulary changes (effective July 1, 2026), and Colorado providers must adopt new LOCUS and CALOCUS-CASII behavioral health criteria (effective April 11, 2026). Access the negative balance report tool on CignaforHCP.com for improved claim offset transparency.

Plan Types

Commercial

Specialties

all-specialties

Summary of Provider Newsroom U.S. commercial medical articles | Cigna | PolicyChanges.app