CommercialPrior AuthHigh impact
Preauthorization List Updates
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have updated their preauthorization lists across multiple plan types including commercial, Medicare, and home infusion therapy services. The billing team must review the updated lists to ensure proper prior authorization is obtained for affected services.
Action Required
Immediately: Billing team must access the updated preauthorization lists at emblemhealth.com for EmblemHealth, GHI PPO City of New York, ConnectiCare Commercial, ConnectiCare Medicare, EmblemHealth/ConnectiCare Home Infusion Therapy Drug, and Pharmacy Medical preauthorization requirements. Update billing system rules and staff training materials to reflect new prior authorization requirements. Failure to obtain required prior authorizations will result in claim denials.