Medicaid Coverage

Each year, an analysis is conducted of each state’s Medicaid program to examine what each program states they cover related to genetic services. The database only uses publicly available coverage policies to see when genetics is covered for children, specific criteria for when genetic services are covered, medical food coverage, and coverage of specific genetic tests. Click on the map below to learn more about your state’s policies.

The database is not meant to indicate or imply whether a certain program will cover a specific service, since many decisions are made on a case by case basis. If you have specific questions about whether a service is covered, you should reach out to your plan administrator. Please scroll to the bottom for the database disclaimer.

The information contained in the database has been obtained from sources believed to be reliable but ACMG has not attempted to validate or confirm the information. The database may be updated periodically.  However, the accuracy and completeness of the information contained in the database cannot be, and is not, guaranteed.  ACMG makes no warranty of the accuracy, completeness or timeliness of this information, and shall not be liable for any decision made in reliance on this information.  It is the user’s responsibility to verify this information by contacting the state Medicaid agency directly.

The database contains links to third-party websites. These links are provided solely as a convenience to users and not as a guarantee, warrantee, or recommendation by ACMG of the content on such third-party websites or as an indication of any affiliation, sponsorship or endorsement of such third party websites. ACMG is not responsible for the content of linked third-party sites and does not make any representations regarding the privacy practices of, or the content or accuracy of materials on, such third-party websites. If you decide to access linked third-party websites, you do so at your own risk. Your use of third-party websites is subject to the terms of use for such sites.