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Genetic Testing for Hereditary Cardiovascular Disease - Medicare Advantage (Revised)
Effective date
Sep 2, 2025
Identified
Jun 24, 2026
Summary
Humana Medicare Advantage has revised their genetic testing policy for hereditary cardiovascular disease, effective September 2, 2025. The policy establishes coverage determination criteria for genetic testing related to inherited cardiomyopathies, channelopathies, familial hypercholesterolemia, and Marfan syndrome, requiring compliance with CMS guidelines and applicable Local Coverage Determinations.
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What to do
Action · 3 steps
01Before September 2, 2025: Billing team must review and update genetic testing procedures for cardiovascular conditions to ensure compliance with Humana Medicare Advantage requirements.
02Verify that genetic testing orders meet CMS analytical and clinical validity standards per applicable Local Coverage Determinations.
03Update prior authorization workflows to reference the new policy number HUM-1102-006 for genetic testing related to cardiomyopathies, channelopathies, familial hypercholesterolemia, and Marfan syndrome.
Original notice
Genetic Testing for Hereditary Cardiovascular Disease - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Genetic Testing for Hereditary Cardiovascular Disease - Medicare Advantage (Revised)HighEffective Sep 1, 2026 · Medicare AdvantageGenetic Testing for Hereditary Cardiovascular Disease - Medicare Advantage (Revised)HighEffective Jul 1, 2026 · Medicare AdvantageGenetic Testing for Hereditary Cardiovascular Disease - Medicare Advantage (Revised)MediumEffective Jul 1, 2026 · Medicare AdvantageGenetic Testing for Diagnosis of Inherited Conditions - Medicare Advantage (Revised)MediumNo effective date · Medicare AdvantageBrowse every Humana change in the policy list