Genetic Testing for Diagnosis of Inherited Conditions - MEDICAID - INDIANA (Revised)
Humana Indiana Medicaid has revised its genetic testing policy for inherited conditions (Policy HUM-IN-2109-003), effective 08/26/2026. The policy establishes specific coverage criteria and approved testing strategies for five inherited genetic conditions: adrenoleukodystrophy, hemophilia B, molecular pathology testing, myotonic dystrophy types 1 and 2, and Tay-Sachs disease. Billing teams must implement coverage limitations that restrict certain tests (e.g., full DMPK/CNBP sequence analysis) and enforce pre- and post-test genetic counseling requirements.