← Back to list
Genetic Testing for Diagnosis of Inherited Conditions - Medicare Advantage (Revised)
Effective date
Mar 2, 2026
Identified
Jun 24, 2026
Summary
Humana Medicare Advantage updated their genetic testing policy for inherited conditions, providing new coverage criteria and limitations. The policy consolidates coverage rules for various genetic tests including multigene panels, whole genome/exome sequencing, and short tandem repeat analysis.
Get alerts when payers change rules like this one
We check Humana and other payers every day and email you when a change matches your specialty and state.
Get Humana alertsPolicy Monitoring is free. No card required.
What to do
Action · 3 steps
01Before March 2, 2026: Review updated Humana Medicare Advantage genetic testing coverage criteria for inherited conditions.
02Update billing processes to align with new coverage determinations and ensure compliance with analytical validity, clinical validity, and clinical utility standards for molecular diagnostic tests.
03Verify coverage requirements against applicable MAC LCDs for your jurisdiction.
Codes mentioned
81265812668126781268
Original notice
Genetic Testing for Diagnosis of Inherited Conditions - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Genetic Testing for Diagnosis of Inherited Conditions - Medicare Advantage (Revised)MediumEffective Sep 1, 2026 · Medicare AdvantageGenetic Testing for Diagnosis of Inherited Conditions - Medicare Advantage (Revised)MediumEffective Aug 3, 2026 · Medicare AdvantageGenetic Testing for Diagnosis of Inherited Conditions - MEDICAID - KENTUCKY (Revised)MediumEffective Sep 23, 2026 · MedicaidGenetic Testing for Hereditary Breast, Ovarian, Pancreatic and Prostate Cancer - Medicare Advantage (Revised)HighEffective Aug 3, 2026 · Medicare AdvantageBrowse every Humana change in the policy list