Prior Authorization Requirement for Genetic Tests

Baltimore, MD (November 15, 2018) - Effective February 1, 2019, your doctor is required to request prior authorization for genetic tests to ensure you receive the right test for your needs and it is covered under your benefits.


  • Genetic tests – a type of medical test that can reveal changes in your genes that may cause illness or disease.
  • Prior authorization – a process used to determine if a prescribed procedure, service or medication is covered and/or medically necessary.