SHANK3 Genetic Testing Program

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Through our partnership with Jaguar Gene Therapy, eligible pediatric and adult patients with suspected SHANK3-related autism spectrum disorder can receive extra financial support for genetic testing.  

For eligible patients, should insurance be denied or a patient be uninsured, testing will be covered. This helps more patients with autism access the comprehensive genetic tests they deserve. 

Remove barriers to testing. Empower earlier insights. 

Access to genetic testing is often limited by insurance coverage and cost. Through this program, your eligible patients can receive guideline-backed exome testing with financial support from Jaguar Gene Therapy.

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No out-of-pocket costs for patients who are uninsured or denied coverage 

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Comprehensive exome testing

Together, we can help more families find answers and advance the understanding of autism spectrum disorder. 

Is your patient eligible?

Patients must meet all of the following criteria:

  • No prior genetic testing performed by a clinical laboratory that resulted in a confirmed diagnosis of Phelan-McDermid Syndrome; SHANK3 haploinsufficiency 
  • Present with moderate-to-severe developmental delay, intellectual disability (ID), autism spectrum disorder (ASD), or autistic-like behavior with clinical suspicion of PMS. 
  • Patient must reside in the United States

Additionally, patients must meet at least 5 from at least 2 of the below groups

Neurology/neuropsychiatric

  • Psychiatric manifestations or episodes 
  • Seizures 
  • Regression 
    Sleep disturbances 
  • Catatonia

Language/communication

  • Delayed or absent speech 
  • Speech apraxia

Sensory/sensory perception

  • Decreased perception of pain (including self-injury) 
  • Decreased response to auditory or visual stimuli, decreased perspiration/overheating, pica (and/or mouthing, chewing, or teeth grinding) 

Dysmorphic features/musculoskeletal

  • Dysplastic fingernails or toenails, long  eyelashes, large or fleshy hands 
  • Marked hypotonia 

Motor

  • Delayed motor milestones (rolling over, sitting, crawling, walking) 
  • Gross and fine motor impairments 
  • Gait abnormalities 

GI/urinary system dysfunction

  • Bladder or bowel incontinence 
  • Gastroesophageal reflux (including difficulty swallowing) 
  • Dysmotility (including constipation) 

How to order

Login or sign up for a GeneDx account and add 1 of the following ExomeDxTM tests to your cart: 

  • ExomeDxTM, Proband
  • ExomeDx, Duo
  • ExomeDx, Trio
2

Select the partnership code ESAS3  

3

Confirm your patients’ eligibility

4

Follow the prompts and enter in the appropriate information  

Place your order and we’ll follow up when your results are ready 

Please note: if exome results are non-diagnostic GeneDx will reach out to offer genome testing completely covered by Jaguar Gene Therapy

Billing & Insurance 


All insurance types are accepted. Commercial plans are billed first, and if denied, Jaguar covers the full cost. If a proband receives a non-diagnostic result, whole genome sequencing is offered at no cost and fully covered by Jaguar.

COMMON QUESTIONS

SHANK3 haploinsufficiency is a genetic cause of SHANK3-related autism spectrum disorder (ASD) and Phelan-McDermid syndrome (PMS). It is characterized by lifelong and severe neurobehavioral, developmental, motor, and cognitive impairments.1

Patients may initially receive clinical diagnoses of autism spectrum disorder (ASD), intellectual disability (ID), developmental delay, or a psychiatric disorder before genetic testing identifies the underlying etiology.1

A diagnosis of PMS is established when genetic testing confirms a loss-of-function variant or deletion in the SHANK3 gene.2

Genetic studies indicate that SHANK3 pathogenic variants occur in approximately 0.5%–0.69% of individuals with ASD. In those with ASD and moderate to profound intellectual disability, the prevalence increases to about 2.1%.3-4

Despite published guidelines recommending genetic evaluation for patients with ASD, SHANK3 haploinsufficiency remains largely undiagnosed because genetic testing is not routinely pursued in many clinical settings.5-7

Updated 2023 consensus clinical guidelines on managing PMS patients highlight multidisciplinary care across genetics, neurology, neurodevelopment, gastroenterology, primary care, physiatry, and other specialties.8

References: 1. Costales JL, Kolevzon A. Phelan–McDermid Syndrome and SHANK3: Implications for Treatment. Neurotherapeutics. 2015;12(3):620–630. doi:10.1007/s13311-015-0352-z. 2. Kolevzon A et al. Phelan-McDermid syndrome: A review of the literature and practice parameters for medical assessment and monitoring. J Neurodev Disord. 2014;6(1). doi:10.1186/1866-1955-6-39. 3. Betancur C, Buxbaum JD. SHANK3 haploinsufficiency: a “common” but underdiagnosed cause of autism spectrum disorders. Mol Autism. 2013;4(1):17. doi:10.1186/2040-2392-4-17. 4. Leblond CS et al. Meta-analysis of SHANK mutations in autism spectrum disorders: A gradient of severity in cognitive impairments. PLoS Genet. 2014;10(9):e1004580. doi:10.1371/journal.pgen.1004580. 5. Shen Y et al. Clinical genetic testing for patients with autism spectrum disorders. Pediatrics. 2010;125(4). doi:10.1542/peds.2009-1684. 6. Manickam K et al. Exome and genome sequencing for pediatric patients with congenital anomalies or intellectual disability. Genet Med. 2021;23(11):2029–2037. doi:10.1038/s41436-021-01242-6. 7. Rodan LH et al. Genetic evaluation of the child with intellectual disability or global developmental delay: Clinical report. Pediatrics. 2025;156(1):e2025072219. doi:10.1542/peds.2025-072219 8. Kolevzon A et al. Phelan-McDermid syndrome: Updated consensus clinical guidelines. J Neurodev Disord. 2023.

How your data helps

This program helps accelerate the development of new autism therapeutics. Our partner, Jaguar Gene Therapy, receives only de-identified patient data, such as reportable variants from patients tested through the program, and contact information for the providers who order testing. 

GeneDx will never share any personally identifiable patient information or raw sequencing data with biopharma industry partners. To learn more, please see our full privacy policy here.