MedicaidAdministrativeMedium impact
23-640 Concert Genetics Policies to Replace Applicable Genetic Testing Clinical Policies
Health Net·CA · Oncology, OB-GYN, Cardiology +3 more·Provider News
Effective date
Jun 30, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California is replacing their existing genetic testing clinical policies with Concert Genetics policies, which will be integrated into a new clinical decision support platform called 'Concert Genetics Navigator.' This change affects how genetic testing services will be evaluated and managed for covered members.
Action Required
Billing team should download and review the full Provider Update PDF from the HealthNet provider portal to understand the specific changes to genetic testing policies. Monitor for updates to the Concert Genetics Navigator platform and any new prior authorization or documentation requirements for genetic testing services that may result from this policy replacement.