Reminder: prior authorization required 7/1/2017 for genetic testing

As previously communicated, BCBSGA will transition the medical necessity review of all genetic testing services for local fully insured members to AIM Specialty Health®, a separate company effective with dates of service on or after July 1, 2017. 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, Labor & Trust, National Accounts and Local ASO. In addition, BCBSGA HMO/POS members obtaining services with a capitated lab will not apply for prior authorization for this program.

Source: https://www11.bcbsga.com/networkupdate/articles/jun2017_genetic.html