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Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2025

Benefits of utilization management attestations: a guide for care providers

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025

Notice of material change/amendment to contract

Precertification/Prior Authorization list change notification July 1, 2025

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMay 22, 2025

Precertification/prior authorization requirement changes

Effective October 1, 2025

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025

Streamline your prior authorizations with our digital tools

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 11, 2025

Submit preapproval requests for post‑acute care services for Medicare group retiree members to Carelon Post Acute Solutions

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMarch 28, 2025

Streamline your workflow: Submit BH authorizations through Availity Essentials

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 27, 2025

Outpatient preapproval update from Carelon Medical Benefits Management, Inc.

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 6, 2025

Prior authorization requirement changes
Effective July 1, 2025

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

Notice of material change/amendment to contract

Precertification list change notification March 1, 2025

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025

Submitting authorization for NICU services facilitates accurate and timely claims processing

Products & Programs Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialJanuary 14, 2025

Authorization for post‑acute care services for FEP members

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Change in precertification penalty

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Notice of material change/amendment to contract

Precertification List Change Notification — November 1, 2024

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Notice of material change/amendment to contract

Precertification List Change Notification — November 1, 2024

Codes J3393 and J3394

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 24, 2024

Prior authorization requirement changes

Effective February 1, 2025

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 23, 2024

Prior authorization requirement changes

Effective January 1, 2025

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 17, 2024

Changes to special supplemental benefits for the chronically ill eligibility requirements

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialSeptember 3, 2024

Notification of authorization fax number changes

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2024

Notice of material change/amendment to contract

Precertification list change notification September 1, 2024

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 11, 2024

Preference for authorization case status and digital decision letters and navigating Availity Essentials to get them for Medicare authorization cases

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 8, 2024

Digital-only authorization case status notification coming to you

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024

Notification of authorization fax number changes

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 31, 2024

Prior authorization requirement changes

Effective December 1, 2024

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024

Notice of material change/amendment to contract

Precertification list change notification July 1, 2024

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024

Program implementation announcement: Authorizations for post-acute care services by Carelon Medical Benefits Management, Inc.

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJune 21, 2024

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing code updates

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Notice of material change/amendment to contract

Expansion of Carelon Medical Benefits Management, Inc. programs

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMay 13, 2024

Notice of material change/amendment to contract

Anthem Precertification List Change Notification for July 1, 2024

Policy Updates Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 3, 2024

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing code updates

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 27, 2024

Requesting authorizations for post-acute care services

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMarch 27, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 19, 2024

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing code updates

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 11, 2024

Prior authorization requirement changes effective July 1, 2024

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Notice of material change/amendment to contract

Precertification list change notification — March 1, 2024

Policy Updates Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024

Prior authorization requirement changes effective May 1, 2024

Codes G0481 - G0483

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Notice of material change/amendment to contract

Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic Testing

Policy Updates Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJanuary 24, 2024

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing code updates

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 24, 2024

Prior authorization requirement changes effective May 1, 2024

Code C1825

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 24, 2024

Prior authorization requirement changes effective May 1, 2024

Code C1825

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 4, 2024

Long Term Acute Care (LTAC) Precertification Worksheet

Policy Updates Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing CPT® code list update

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Notice of material change/amendment to contract

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

Policy Updates Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

Genetic testing code list update

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023

Program Delay Announcement: Authorizations for post-acute care services by Carelon Post Acute Solutions, LLC

Policy Updates Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 17, 2023

Transition to Carelon Medical Benefits Management, Inc. Genetic Testing Guidelines

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023

Prior authorization requirement changes effective May 1, 2024 

Codes 0738T and 0739T

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023

Prior authorization requirement changes effective May 1, 2024 

Codes Q4272 - Q4284

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 8, 2023

Prior authorization requirement changes effective May 1, 2024 

Code E0761

Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2023

Prior authorization requirement changes effective March 1, 2024 

Codes 33275 and 33274