Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: The Department of Health administers the
Missouri Genetics Disease Program to provide genetic diagnostic and counseling
services. The department may contract with qualifying tertiary genetic centers
to provide genetic services for residents of Missouri. This rule sets forth the
requirements for becoming a contractor and the
reimbursement criteria to receive funding for
tertiary genetic centers awarded contracts pursuant to this
program.
(1) The requirements
for a tertiary genetic center to participate in the Missouri Genetics Disease
Program are that the center-
(A) Maintains
staff, facilities, resources and equipment which have the capability to provide
up-to-date and comprehensive genetic services;
(B) Staff must have clinical expertise in
syndrome identification. The center must provide a minimum of two (2)
personnel, one (1) of which shall be a medical geneticist and the other shall
be a genetic associate. The center's staff shall additionally include a nurse,
a social worker, a cytogeneticist, a psychologist, and clerical
staff;
(C) Provide existing access
to the following specialists: audiologist, ear, nose and throat specialist,
pediatric neurologist, pediatric cardiologist, orthopedic specialist,
neonatologist, perinatologist, and prenatal ultrasonography
specialist;
(D) Be capable of
providing pedigree analyses, full diagnosis, referral for patient evaluation
and lab work, and multidisciplinary consultation; and
(E) Be equipped with a cytogenetic
laboratory, a biochemical genetics laboratory, and a cell culture laboratory
with full diagnostic capabilities. If the center has only one (1) laboratory,
it must have all of the above described specific laboratory
capabilities.
(2)
Tertiary genetic centers under contract with the Department of Health, pursuant
to the Missouri Genetics Disease Program, must satisfy the following criteria
in order to receive reimbursement:
(A)
Perform service community networking which establishes and maintains
appropriate and effective coordination with other related health services and
genetic disease-related programs in the area. To facilitate and carry out
contractual activities, the contractor shall permit expansion of less-developed
programs to strengthen limited activities and develop new programs in an area
in which no current program exists, for example, establishment of a teratogen
hotline;
(B) Provide genetic
evaluations for individuals and their families who are at risk for genetic or
genetic-related conditions;
(C)
Provide genetic counseling and upon completion of the diagnosis give a complete
explanation of the findings to the individual and their family;
(D) Conduct genetic outreach activities; the
delivery of genetic diagnosis, counseling, and education services at outreach
clinic sites;
(E) Provide
professional education programs for physicians, nurses, scientists,
technicians, therapists, and other allied health professionals regarding the
causes, methods of treatment, prevention and cure of genetic
diseases;
(F) Provide educational
activities to the general public regarding the various types of genetic
disorders and their modes of inheritance; the impact of genetic disorders in
Missouri; and genetic services that are available in Missouri; and
(G) Collect demographic and other patient
data as identified by the Missouri Genetics Disease Program and report
information according to current reporting requirements established through the
Genetic Automated Office System (GOAS).
*Original authority 1985, amended 1993,
1995.
