CommercialCoverageHigh impact
May 2026
SelectHealth·Orthopedics, General Surgery, Urology +3 more·Policy Bulletin
Effective date
Jun 1, 2026
We identified it
Jun 20, 2026
Summary
Select Health updated multiple medical policies including new coverage exclusions, revised genetic testing criteria, and announced 25 new genetic testing policies effective June 1, 2026. Key changes include excluding low-dose radiation therapy for arthritis, modifying various procedure criteria, and emphasizing that genetic testing requires preauthorization to avoid claim denials.
Action Required
By June 1, 2026: Billing team must prepare for 25 new genetic testing policies being implemented. Immediately: Verify preauthorization requirements for all genetic testing services using the Preauth & Care Plan Tool to prevent claim denials. Update billing workflows to ensure genetic tests have proper preauth before submission. Review patient cases involving low-dose radiation therapy for arthritis (Policy #700) as this is now excluded coverage.