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Effective March 1, 2024: Removal of Prior Authorization Requirement for Certain Genetic Procedures

Date: 02/02/24

Effective March 1, 2024, Superior HealthPlan will no longer require prior authorization for certain genetic testing for Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP) and Ambetter from Superior HealthPlan (Marketplace).

Below are the genetic tests that are included in this change to the prior authorization requirements.

Genetic Test Categories

TPMT Typing (Thiopurine Medications) Tests

Hereditary Neuropathies (Charcot Marie Tooth) Panel Tests

Expanded Carrier Panel Tests

To review prior authorization requirements, please visit Superior’s Prior Authorization webpage.

For questions or additional information, contact Superior’s Prior Authorization department at 1-800-218-7508.