NIPT Requisitions

Non-invasive prenatal testing (NIPT) is currently available to all pregnant individuals in Ontario. The funding for NIPT varies and will depend on the reason for testing.

Requisitions

OHIP-Funded NIPT

These requisitions are to be completed by a health care provider for those patients who meet the

Ministry of Health and Long-Term Care criteria for funding.

Patient-pay NIPT

If a patient does not meet the MOH criteria for OHIP-funded NIPT, there are a number of commercial laboratories (including those above) that offer this screening at the patient's own cost. Pricing varies between labs, ranging from $99 USD through to $500 CAD.

Ministry of Health and Long-Term Care (MOHLTC) funding

If one of the following specific clinical criteria are met, NIPT will be funded by the Ontario Health Insurance Plan (OHIP).

Category I criteria: (can be ordered by any physician)

a positive prenatal screening result from multiple marker screening (MMS) for this pregnancy
the maternal age (or age of the egg donor) will be 40 years or older at the expected date of delivery
- in the context of in vitro fertilization, the maternal age is guided by the age at egg retrieval (whether own egg or donor egg)
the nuchal translucency (NT) measurement is ≥3.5mm
there is a personal history of a previous pregnancy or child with Trisomy 21, 18 or 13

Category II criteria: (must be ordered by a genetics or maternal-fetal medicine specialist)

there are findings on ultrasound which are associated with an increased chance for trisomy 21, trisomy 18 or trisomy 13
there is risk for a sex-linked genetic condition
the ultrasound shows findings suggestive of a sex chromosome difference
the ultrasound shows findings suggestive of a disorder of sex determination

Patients can be referred to a Regional Genetics centre for further information about the Category II criteria for funding and whether you meet the requirements.

Non-invasive Prenatal Testing (NIPT) Requisitions