Florida

State of Hepatitis C
Medicaid Access:

B+

Florida

Liver damage restrictions

Florida FFS and MCOs do not impose liver damage requirements.

Sobriety restrictions

Florida FFS and MCOs require one-month sobriety prior to initiating treatment, or documentation that the patient is currently receiving counseling for substance use. For patients who seek retreatment, three months of sobriety is required.

Prescriber restrictions

Florida FFS and almost all MCOs allow any doctor to prescribe treatment and no longer require consultation with a specialist. One MCO still requires a specialist consultation.

Recommendations

  • Remove sobriety restrictions.
  • Restore hepatitis C coverage parity between FFS and MCO programs and maintain transparency regarding prior authorization requirements.
  • Remove prior authorization requirements.

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