Prior Authorization
Requiring prescribers to obtain advance approval before insurance will cover HCV treatment
REPORT
Find your state below and read our 2022 National Summary Report.
DISCRIMINATORY STATE MEDICAID RESTRICTIONS
While there have been some improvements in both state Medicaid program transparency and access since 2014, most states still have discriminatory restrictions that keep patients from being cured.
To learn more about these restrictions, watch our webinar from June 2022.
The Most Significant Restrictions to Treatment:
Fibrosis Restrictions
Based on a patient’s degree of liver damage or fibrosis level
Substance Use Restrictions
Based on a patient’s drug or alcohol use
Prescriber Restrictions
Based on a prescriber’s specialty or expertise
Retreatment Restrictions
Based on whether a patient has previously received treatment
Access in Managed Care
Assesses parity between a state’s fee-for-service program and contracted managed care organizations
Additional Restrictions
Restrictions that are less common but may pose severe barriers to care
Find Your State
*States with an asterisk next to their grade have removed prior authorization for most patients entirely