CommercialAdministrativeMedium impact
Summary of Provider Newsroom U.S. commercial medical articles
Cigna·CO·General
We identified it
Jun 18, 2026
Summary
This is a monthly summary of Cigna Healthcare policy updates from April 2026, including multiple changes affecting prior authorization, drug formularies, billing processes, and specialty care programs. Key changes include standardized electronic prior authorization requirements, enhanced 270/271 eligibility transactions, expanded specialty drug lists, and new negative balance reporting tools.
Action Required
Review each individual policy update mentioned in this summary for specific implementation requirements. Key actions include: 1) Prepare for standardized electronic prior authorization changes by end of 2026, 2) Update systems for enhanced 270/271 eligibility transactions (effective April 24, 2026), 3) Review expanded Specialty Care Options drug lists for proper site-of-care billing, 4) Access new negative balance report tool on CignaforHCP.com portal, 5) Prepare for drug formulary updates effective July 1, 2026.