Texas State Prior Authorization Requirements Expanded for Genetic and Molecular Testing
Effective February 1, 2025, UnitedHealthcare will amplify its previous authorization requirements underneath the genetic program for the UnitedHealthcare Community Plan of Texas. This replacement introduces extra molecular and genetic checking-out codes to the list of strategies requiring previous approval.
New Genetic and Molecular Codes
The following codes might be introduced to the earlier authorization requirement:
- 81443
- 81425
- 81426
- 81427
These adjustments purpose to decorate oversight and make sure appropriate use of genetic and molecular testing offerings.
How to Submit Prior Authorization Requests
Providers can post previous authorization requests via the UnitedHealthcare Provider Portal. The steps consist of:
- Visit UHCprovider.Com and log in for the usage of your One Healthcare ID.
- If you don’t have a One Healthcare ID, create an account with the aid of traveling UHCprovider.Com/access.
- Navigate to the “Prior Authorizations” phase inside the portal.
- Use the “Create a brand new notification or prior authorization request” tool, enter the desired information, and post your request.
Resources and Support
UnitedHealthcare offers sources for providers to recognize these updates better. Live schooling and additional software info are available on the Genetic and Molecular Testing Prior Authorization/Advance Notification Program website.
For questions or help, carriers can get admission to 24/7 chat support through the UnitedHealthcare Provider Portal or discuss with the Contact Us page for further assistance.
This update underscores UnitedHealthcare’s commitment to ensuring proper management of genetic trying out offerings even as preserving great take care of patients.
