New Jersey, Pennsylvania, Rhode Island – UHC Genetic and Molecular Lab Testing Notification Requirement
April 2019 ~
UnitedHealthcare (UHC) will soon require providers in New Jersey, Rhode Island, and Pennsylvania to complete the notification/prior authorization process for genetic and molecular testing performed in an outpatient setting.
States soon to be included in this requirement will include:
- Effective April 1: New Jersey, Rhode Island
- Effective July 1: Pennsylvania
NOTE: All UnitedHealthcare Medicare and Medicare Advantage plan members, including Dual Special Needs Plans (DSNP) members, are not included in these requirements.
Source(s): UnitedHealthcare Network Bulletin April 2019;