About the Alliance

Helping Find Answers for Children with Rare Diseases

Research shows that it too often takes children with rare diseases many years and visits to different doctors to get a correct diagnosis.

  • During this “diagnostic odyssey,” children with rare diseases often undergo unnecessary tests and procedures, receive the incorrect diagnoses, and experience delays in getting effective care.
  • This long timeline means that many children with rare diseases experience irreversible damage as the disease progresses.
  • Because of the time it takes to get a diagnosis, patients may miss therapeutic windows and have fewer effective treatment options when they finally receive a diagnosis. For genetic disorders that are not considered treatable, coordination of care and family adjustment to rare disease are also negatively impacted in the absence of a unifying diagnosis to explain their condition.

Genomic sequencing can, in many cases, help children receive an accurate diagnosis in weeks or days. In the cases in which genomic sequencing may not yet yield a definitive diagnosis based on our current scientific understanding, clinicians emphasize that genomic sequencing is still important for ruling out known diseases, thereby removing futile testing and treatments from downstream patient management.

Effectuating Access to Genomic Sequencing

Medicaid is the single largest payer of care in the U.S. for children with rare diseases. Yet most state Medicaid programs do not cover important genomic sequencing, including whole genome sequencing. Too often, there are hassles and delays in children with rare diseases enrolled in Medicaid getting access to the genomic sequencing they need.

Whole genome sequencing is one of the best tools available for diagnosing rare diseases and helping drive research forward to better understand rare diseases. Compared to more targeted genetic tests, whole genome sequencing leads to faster diagnoses and fewer unnecessary tests.

Children with rare diseases deserve a fair shot – they deserve timely access to important genomic sequencing, especially whole genome sequencing. Genomic sequencing can provide clinicians with better information and families with greater peace of mind.

Mission

Our mission is to ensure that any child with a rare disease or suspected genetic disorder who is enrolled in Medicaid has timely access to genomic sequencing, especially whole genome sequencing. We also seek to ensure that patients and their families have the opportunity to share the sequencing results with medical researchers, to help aid in the discovery and development of new treatments for rare diseases.

Vision

Our vision is a day when any child who has a rare disease and is enrolled in Medicaid receives timely access to whatever genomic sequencing the child needs – regardless of the child’s location or the type of disease.