A landscape assessment of Medicaid recognition for genetic counselors.

Payer enrollment for genetic counselors (GCs) is fundamental to long‐term field sustainability and patient care access. Until federal recognition is obtained, enhancing Medicaid policies may help address existing GC coverage disparities. Understanding the current landscape is critical to mapping an...

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Publicado en:Journal of Genetic Counseling Vol. 34; no. 3; pp. 1 - 12
Autores principales: Reys, Brian, Valentine, Alyssa, Pan, Vivian, Gaston, Delaney, Harper, Mardarius, Brouette, Maya, Nuccio, Regina
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: A landscape assessment of Medicaid recognition for genetic counselors.
      aug:
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          Reys, Brian
          Valentine, Alyssa
          Pan, Vivian
          Gaston, Delaney
          Harper, Mardarius
          Brouette, Maya
          Nuccio, Regina
        affil: Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas Texas,, USA
      sug:
        subj:
          Medicaid United States
          Genetic Counselors
          Genetic Counseling
          Licensure
          Health Policy
          Billing and Claims
          Fees and Charges
          Reimbursement Mechanisms
          Human
          United States
          Cross Sectional Studies
          Descriptive Research
          Coding
          Public Health
          Medically Underserved
          Current Procedural Terminology
          Maps
          Health Services Accessibility Evaluation
      ab: Payer enrollment for genetic counselors (GCs) is fundamental to long‐term field sustainability and patient care access. Until federal recognition is obtained, enhancing Medicaid policies may help address existing GC coverage disparities. Understanding the current landscape is critical to mapping an effective strategy for future advocacy efforts. This study assessed GC provider enrollment and relevant CPT® codes across Medicaid programs in the United States via a review of open‐access Medicaid websites for 50 US states, Washington, DC, and 5 US territories in 2024. Medicaid fee status for CPT® code 96040 (GC only, 30 min) and S0265 (GC with physician supervision, 15 min code), fee schedule dates, availability of GC as a provider enrollment type, and state licensure status were abstracted. Of Medicaid provider enrollment websites for US states and DC, 21.6% (11/51) included genetic counselors; 49% (25/51) listed CPT® code 96040 and 13.7% (7/51) listed S0265 in the fee schedule with a non‐zero rate; none of the US territories listed either. Of the 34 regions with GC licensure, 32.4% (11/34) included GCs as an enrollment type in their state Medicaid provider website, while none of the 22 unlicensed regions did. This assessment highlights a gap between state licensure efforts and enrollment of GCs by state payers. Advocacy and public health policy directly targeting state Medicaid programs provide another avenue to increase coverage for GC services. A key downstream benefit of GC recognition through these efforts includes expanding access to genetic counseling services for underserved communities.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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