Cell-Free Fetal DNA Testing aka Non-Invasive Prenatal Testing (NIPD)

This message is regarding services for cell-free fetal DNA testing billed to members served by the Oklahoma Health Care Authority (OHCA). These tests may be marketed under trade names including MaterniT21 (Sequenom),Harmony (LabCorp/Ariosa), Panorama (Bio-Reference Labs/Quest/Natera), or Verifi (Verinata).  The list prices for these tests range from ~$800 to ~$2,700. While MDOK recognizes the value of genetic testing when such testing has a direct impact on clinical outcomes and is fully evaluated, accepted, and incorporated into evidence-based guidelines, they have determined that the aforementioned tests do not meet this threshold.  Therefore, these tests are not compensable services, and members will be responsible for any charges resulting from cell-free fetal DNA testing services.