Effective Date: Oct. 1, 2026

Health Plans Affected: Advantage MD, Employer Health Programs (EHP), Priority Partners, and US Family Health Plan (USFHP)

Type of Change: New Codes and Authorization Requirements Status

Explanation of Change:

Please note that we have added additional codes added authorization requirements for quarterly new codes listed in the linked chart below, effective October 1, 2026.

• Oct 2026 Quarterly New Codes Review  

Prior Authorization Process
• Please use our secure online portal, Availity, to submit electronic prior authorization requests for members of all plans.


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