MedicaidCoverageMedium impact
Molecular Diagnostic Assays and Breath Testing for Transplant Rejection - MEDICAID - VIRGINIA (Revised)
Humana·VA · Transplant Surgery, Nephrology, Cardiology +2 more·Medicaid
Effective date
Jan 1, 2025
We identified it
Jun 24, 2026
Summary
Humana Medicaid in Virginia does not cover any molecular diagnostic assays or breath testing for transplant rejection, including specific tests like AlloSure, TruGraf, and Heartsbreath. All requests must be referred to Humana's Corporate Transplant Department for review.
Action Required
By January 1, 2025: Billing team must update system to deny all molecular diagnostic assays and breath testing claims for transplant rejection for Humana Medicaid Virginia members. Route all requests to Humana Corporate Transplant Department at 1-866-421-5663 or transplant@humana.com before providing services. Claims for these services will be denied as non-covered.