Cystic Fibrosis Carrier Testing
CareSource administrative policy governing coverage and administrative rules for cystic fibrosis carrier testing for members in Arkansas, including counseling and prior authorization expectations.
No material clinical or coverage changes in this revision.
Cystic Fibrosis Carrier Testing Coverage Criteria
Cystic Fibrosis Carrier Testing Criteria
Covered when the following conditions and recommendations are met:
ALL of the following
- Prior authorization not required for Cystic Fibrosis genetic testing.
- Testing should be performed once in a lifetime.
- Genetic counseling is strongly suggested at the time of testing.
Counseling should be provided by a healthcare professional with knowledge, education and training in the relevant genetic issue.
- Carrier testing is for individuals who are female and who are pregnant or of reproductive age with intent and potential to procreate and have consented to the test.
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