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Genetic and Coagulation Testing for Noncancer Blood Disorders - Medicare Advantage (Revised)
Effective date
Feb 2, 2026
Identified
Jun 24, 2026
Summary
Humana Medicare Advantage has revised its policy for genetic and coagulation testing for noncancer blood disorders, updating coverage determinations and limitations for conditions like hemophilia, thalassemia, and clotting disorders. The policy consolidates requirements for genetic testing related to blood coagulation issues and references multiple MolDX Local Coverage Determinations across different Medicare Administrative Contractor jurisdictions.
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What to do
Action · 3 steps
01Before February 2, 2026: Review and update prior authorization processes for genetic and coagulation testing orders for noncancer blood disorders.
02Billing team must verify coverage requirements against applicable MolDX Local Coverage Determinations based on practice location and ensure documentation supports medical necessity for tests related to hemophilia, thalassemia, G6PD deficiency, and other inherited blood disorders.
03Update encounter forms to remind providers of revised coverage limitations.
Original notice
Genetic and Coagulation Testing for Noncancer Blood Disorders - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Genetic and Coagulation Testing for Noncancer Blood Disorders - Medicare Advantage (Revised)MediumEffective Oct 12, 2026 · Medicare AdvantageGenetic Testing for Hematologic Malignancies and Suspected Myeloid Disorders - Medicare Advantage (Revised)HighEffective Sep 1, 2026 · Medicare AdvantageGenetic and Coagulation Testing for Noncancer Blood Disorders - Medicare Advantage (Revised)HighEffective Feb 2, 2026 · Medicare AdvantageBrowse every Humana change in the policy list