Medical Providers Talking Points:
- Introduce yourself and your job/position.
- State your support of coverage for expanded carrier screening
Provide Background on Expanded Carrier Screening
- ECS is a test that analyzes parents’ (both male and female) DNA to see if they are a carriers of a genetic variant that could cause an inherited disease in their child.
- With recent technological advances expanded carrier screening can simultaneously test for multiple serious genetic disorders for all individuals, no matter their background.
- The most recent medical guidance from ACOG recognizes ECS as an acceptable screening for pregnancy and prenatal screening.
Explain How Medical Providers Use Expanded Carrier Screening
- Traditionally clinicians have ordered genetic tests based on ethnicity, including Tay-Sachs and cystic fibrosis tests and data has shown that these targeted screenings create inequities in care as they miss a significant proportion of carriers in a diverse patient population
- Pan-ethnic ECS panels have become increasingly important for clinicians to support individuals and couples, particularly as it becomes more challenging for individuals to identify their family history as families and societies grow more diverse. Self-reported ethnicity does not accurately reflect a patient’s true ancestry.
Address the Importance of Medicaid Coverage for Expanded Carrier Screening
- Ethnicity-based carrier screening misses affected pregnancies, particularly those of non-Caucasian descent. This is important for Medicaid as communities, families and societies grow more diverse.
- In my practice I have seen many individuals who would be candidates for expanded carrier screening but have not had access to the service due to the lack of Medicaid coverage.
Explain How You Use Expanded Carrier Screening
- Share how you use expanded carrier screening in your practice and why it is important from your clinical experience. It can be helpful to share a specific patient story or impact on your practice.
Submit Your Ask
- Ask that the [state] Medicaid cover expanded carrier screening through CPT code 81443.