Medicaid Expands Coverage for Colorectal Cancer Screening


New York State (NYS) Medicaid has expanded current colorectal cancer screening coverage to include members 45 to 49 years of age.

All EmblemHealth Medicaid and Health and Recovery Plan (HARP) members between 45 to 75 years of age with an average risk for colorectal cancer should be offered screening with one of the recommended screening test options. Screening members with a high risk for colorectal cancer should be done sooner than screening of average risk individuals and should be based on clinical decision.

Colorectal Cancer Screening Methods for Patients Considered to be of Average Risk

Method Recommended Frequency
Fecal Immunochemical Test (FIT) or High Sensitivity Fecal Occult Blood Testing (FOBT) once annually
FIT-DNA* (e.g. Cologuard) once every three years
Computed Tomography Colonography (CTC) once every five years
Flexible Sigmoidoscopy (SIG) once every five years
Colonoscopy once every ten years
SIG with FIT once every ten years (SIG), plus once every year (FIT)

*DNA - deoxyribonucleic acid, in this case based from stool and any blood shed therein.

For more information and resources related to colorectal cancer screening, visit the NYS Department of Health Colorectal Cancer webpage.