Prior authorization required for genetic testing

Effective with dates of service on or after July 1, 2017, BCBSGa will transition the medical necessity review of all genetic testing services for local fully insured members to AIM Specialty Health®, a separate company. Additionally, this review will now take place as a prior authorization. The program applies to local BCBSGa fully insured members only. This program excludes the following: Medicare, Medicaid, FEP, SHBP, National Accounts and Local ASO.

Source: https://www11.bcbsga.com/networkupdate/articles/apr2017_priorauth.html