Below are forms related to the insurance billing process, including templated letters of medical necessity and forms related to the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program.
Insurance plans often require specific prior authorization forms for genetic testing. While many of these forms are available in the GeneDx Provider Portal, please check with your patient’s insurance provider for the latest requirements.
Please see the EPSDT state attestation form below. If your patient is under the age of 21, has a primary State Medicaid or Managed Medicaid plan, and resides in the following states, physicians should use the general EPSDT attestation form as an addendum to their order: Alabama, Alaska, Arkansas, California, Colorado, Washington D.C., Delaware, Hawaii, Kansas, Louisiana, Maine, Massachusetts, Mississippi, Nebraska, Nevada, New Hampshire, New Mexico, Rhode Island, Texas, Vermont, Wisconsin, and Wyoming.
