CommercialPrior AuthHigh impact
Updated Preauthorization Lists
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 needs to review the updated lists to identify which services now require prior authorization.
Action Required
Immediately: Billing team must access the EmblemHealth provider portal to review the updated preauthorization lists for EmblemHealth, GHI PPO City of New York, ConnectiCare Commercial, ConnectiCare Medicare, Home Infusion Therapy Drug, and Pharmacy Medical services. Update billing system rules and encounter forms to reflect new prior authorization requirements. Verify authorization requirements before scheduling services to prevent claim denials.