MedicaidCoverageMedium impact
Genetic Testing for Diagnosis of Inherited Conditions - MEDICAID - KENTUCKY (New)
Humana·KY · Genetics, Neurology, Ophthalmology +2 more·Medicaid
Effective date
Nov 12, 2025
We identified it
Jun 24, 2026
Summary
Humana has established a new Kentucky Medicaid policy covering genetic testing for diagnosis of inherited conditions, effective November 12, 2025. The policy covers specific genetic tests including CANVAS, corneal dystrophy, hemophilia B, myotonic dystrophy, Rett syndrome, and others, with specific criteria requiring pre- and post-test genetic counseling and clinical documentation.
Action Required
Before November 12, 2025: Billing team must update systems to recognize new genetic testing coverage for Kentucky Medicaid patients. Ensure pre- and post-test genetic counseling is documented and billed appropriately. Verify patient age and symptom criteria are met before submitting claims for covered genetic tests. Update encounter forms to include required clinical documentation elements for each specific genetic condition.