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NC Medicaid Coverage Of Genetic Testing For Breast And Ovarian Cancer Susceptibility.pdf

March_23_2018.pdf
Preview of NC Medicaid Coverage of Genetic Testing for Breast and Ovarian Cancer Susceptibility
🔗 Source: ons.org
📊 Size: 627 KB
👤 Author: Lisa Schlager
⬇️ Downloads: 40

Summary

It addresses a critical gap in current coverage, highlighting that North Carolina is one of only four states not providing this service.

Key Arguments:

Life-Saving Potential: Genetic counseling and testing identify individuals at high risk of developing these cancers, allowing for early detection, prevention, and improved treatment outcomes.
 Evidence-Based Benefits: Multiple medical organizations, including the USPSTF, NCCN, ACOG, ASCO, and Cancer.Net, support genetic testing as a valuable tool in cancer risk assessment and management.
Cost-Effectiveness: Multigene panel testing is considered more efficient and cost-effective than individual gene tests, identifying mutations in over 20 genes associated with hereditary breast and ovarian cancer.
 Wider Applicability: While BRCA1 and BRCA2 mutations are most common, men also carry these mutations and are at risk for various cancers. Testing should be available to individuals aged 18 and above, with exceptions for conditions like Li-Fraumeni syndrome in younger individuals.

Specific Recommendations:

Coverage of Genetic Counseling and Testing: Minimum coverage includes two appointments with a genetic counselor and full sequencing, duplication/deletion, and large rearrangements testing for BRCA1, BRCA2, and other relevant genes.
 Referral to Genetics Experts: Individuals meeting hereditary cancer risk criteria should be referred to a genetics expert for pre- and post-test counseling, interpretation of results, and guidance on follow-up care.
* Adherence to NCCN Guidelines: For individuals with BRCA mutations, coverage should align with NCCN's BRCA-Mutation Positive Management guidelines regarding screening and risk-reducing interventions.

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Description

North Carolina's DMA seeks to expand Medicaid and NC Health Choice program coverage to include genetic testing for susceptibility to breast and ovarian cancer, supported by over 30 organizations representing millions of affected Americans and North Carolinians. This policy change is crucial for early detection and personalized treatment strategies. The request highlights the importance of screening for germline mutations in at-risk individuals.

Technical Information

  • File Format: PDF
  • File Size: 627 KB
  • Pages: 8
  • Language: EN
  • Author: Lisa Schlager
  • Total Downloads: 40
  • Last Updated: 2 weeks ago

Document Overview

This PDF document about NC Medicaid Coverage of Genetic Testing for Breast and Ovarian Cancer Susceptibility provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into NC Medicaid Coverage of Genetic Testing for Breast and Ovarian Cancer Susceptibility.

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