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Fee-For-Service (FFS) does not impose liver damage requirements. Three managed care organizations (MCOs), Blue Cross Community Health Plan, Aetna Better Health, and Molina, also do not impose liver damage requirements. Three MCOs, Meridian Health Plan, CountyCare Health Plan, and YouthCare, do not provide hepatitis C coverage information publicly.
FFS requires screening for active substance use. Two MCOs, Blue Cross Community Health Plan and Molina, require that the provider attest that they will address any patient alcohol or drug misuse. Aetna Better Health requires three months’ abstinence from alcohol and substance use. Three MCOs, Meridian Health Plan, CountyCare Health Plan, and Youthcare, do not provide hepatitis C coverage information publicly.
FFS requires a prescription to be written by or in consultation with a specialist. Two MCOs, Blue Cross Community Health Plan and Aetna Better Health, also require a specialist to prescribe or consult. One MCO, Molina, does not appear to impose prescriber requirements. Three MCOs, Meridian Health Plan, CountyCare Health Plan, and YouthCare, do not provide hepatitis C coverage information publicly.
Join us in urging officials across the country to support policies that help Americans living with hepatitis C get cured.
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@2022 HEPATITIS C: STATE OF MEDICAID ACCESS