[
Effective January 1, 2015, AmeriHealth will implement a new medical
policy related to coverage of both presumptive and definitive drug testing.
Coverage for presumptive and definitive drug testing will be subject to
specific medical necessity criteria and frequency limits identified in the
medical policy.
To review our position on presumptive and definitive
drug testing, refer to the Policy Notifications available on our Medical Policy Portal after
December 1, 2014. Select Accept and Go to Medical Policy Online, and
then select the Commercial or Medicare Advantage tab from the top
of the page, depending on the version of the Notification you'd like to view.
Then type the policy name or number in the Search field:
- Commercial:
#06.02.44: Presumptive and Definitive Drug
Testing- Medicare Advantage:
#MA06.025: Presumptive and
Definitive Drug Testing
You can also view policy activity through the
NaviNet
® web portal by selecting the
Reference Tools
transaction, then
Medical Policy.
If you have any questions related to this new medical policy, please contact
your Network Coordinator or Hospital/Ancillary Services Coordinator.
NaviNet® is a registered trademark of
NaviNet, Inc.
]