CommercialPrior AuthHigh impact
Preauthorization List Updates
EmblemHealth·NY, CT·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth has updated multiple preauthorization lists including GHI PPO City of New York, ConnectiCare Commercial and Medicare plans, Home Infusion Therapy drugs, and Pharmacy Medical lists. Billing teams need to review the updated lists to ensure proper prior authorization requirements are followed for affected services.
Action Required
Immediately: Access the EmblemHealth provider portal to review updated preauthorization lists for GHI PPO City of New York, ConnectiCare Commercial, ConnectiCare Medicare, Home Infusion Therapy drugs, and Pharmacy Medical services. Update billing system rules and staff workflows to reflect new prior authorization requirements. Train front desk staff on updated preauth requirements to prevent claim denials.