Policy UpdatesMedicaid Managed CareOctober 3, 2023

Lab testing reminder

Background

Anthem Blue Cross and Blue Shield follows MCG Care Guidelines for the following lab tests.

You can view appropriate Clinical Utilization Management Guidelines (CUMGs) here.

Update

In compliance with MCG Care Guidelines, only medically necessary lab testing will be covered. Effective January 1, 2024, coverage for these labs will be denied unless medically necessary:

CUMG number/title

CG-LAB-24 โ€“ Urine Culture Testing

CG-LAB-25 โ€“ Glycated Hemo Protein (A1c) Testing

CG-LAB-26 โ€“ Outpatient Alpha-Fetoprotein Testing

What if I have questions?

Availity Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to Availity.com and select the appropriate payer space tile from the drop-down. Then, select Chat with Payer and complete the pre-chat form to start your chat.

For additional support, visit the Contact Us section at the bottom of our provider website for the appropriate contact.

OHBCBS-CD-037381-23-CPN36786