Medicaid: View the new genetic and molecular codes added to prior authorization requirements

The American Medical Association periodically creates new genetic and molecular testing CPT® codes. As these new codes apply to genetic and molecular tests, which currently require prior authorization, we’re adding them to our genetic testing prior authorization program.

Beginning Oct. 1, 2025, prior authorization for these new genetic and molecular testing codes will apply to the following UnitedHealthcare Community Plans:

Kansas
New York
Rhode Island

Please review the codes applicable to your markets.

Review codes

How to submit a prior authorization request

You can submit a prior authorization request through the UnitedHealthcare Provider Portal:

Go to UHCprovider.com and select Sign In at the top-right corner
Sign in to the portal using your One Healthcare ID and password – if you are a new user and don’t have a One Healthcare ID, visit the Provider Portal registration page to get started
In the menu, select Prior Authorizations
In the Prior Authorization and Notification tool, scroll down to “Create a new notification or prior authorization request” and click Create New Submissions
Enter the required information and submit