Employee Hub Genesight - Cognitive Organics

🧠 Genesight SOP – When to Order Testing

🔹 Overview

Genesight is a pharmacogenomic test that helps guide medication selection based on an individual’s genetic profile. It can improve outcomes and reduce medication trial-and-error — especially valuable in psychiatric prescribing.

At Cognitive Organics, we aim to test all clients before prescribing any psychiatric medication. This is a proactive part of our root-cause mental health model.

✅ When to Order Genesight

Order Genesight testing for:

All new med management clients, prior to starting medication
Clients who have had side effects or poor response to previous psychiatric meds
Clients who report being sensitive to medications or struggle with finding the right fit
Cases where polypharmacy is being considered
Clients requesting more personalized or holistic medication support

💬 Suggested Script to Introduce Testing

“One of the tools we offer here is called Genesight. It’s a saliva-based test that looks at how your genetics might affect how you respond to certain medications. It helps us avoid the trial-and-error approach and find a treatment that’s more likely to work for you. There’s no blood draw, and it can be done from home"

Cost & Insurance Information

Medicare and Medicaid clients typically pay $0
Most private insurance plans cover Genesight fully or partially
If not covered:
- Clients will never pay more than $330
- Interest-free payment plans available for amounts over $100
No upfront payment required
Genesight will contact the client directly if additional insurance info is needed

Documentation Checklist

Ensure the following are included in your chart notes:

That Genesight testing was offered as part of personalized psychiatric care
Clinical justification for ordering (e.g., med sensitivity, history of side effects, multiple medication failures)
Client provided verbal consent
Collection method (in-office vs. mailed kit)
Cost/billing options discussed and client agreed

Suggested Chart Note Snippet:

"Genesight pharmacogenomic testing recommended as part of individualized medication management. Client has history of medication sensitivity and suboptimal response to prior psychotropic medications. Verbal consent obtained. Cheek swab to be collected through kit mailed to client. Insurance coverage and cost parameters discussed, including max out-of-pocket $330 and typically $0 for Medicaid/Medicare."