Delaware

State of Hepatitis C
Medicaid Access:

A-

Delaware

Liver damage restrictions

Fee-For Service (FFS), AmeriHealth Caritas Delaware (AmeriHealth), and Highmark Health Options (Highmark) do not impose liver damage requirements.

Sobriety restrictions

FFS, AmeriHealth and Highmark require screening and counseling for substance abuse.

Prescriber restrictions

FFS, AmeriHealth, and Highmark do not appear to impose prescriber restrictions.

Recommendations

  • Remove prior authorizations for preferred agents.
  • Remove alcohol and substance use language on patient consent form.
  • Maintain parity across FFS and MCOs and transparency regarding hepatitis C coverage criteria.

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