Kansas

Liver damage restrictions

Fee-For-Service (FFS) and Managed Care Organization (MCOs) do not require a minimum level of liver damage and only require a diagnosis of chronic hepatitis C.

Sobriety restrictions

FFS and MCOs require that patients do not have a history of illicit intravenous drug use within the past 3 months.

Prescriber restrictions

FFS and MCOs require a prescription to be written by or in consultation with a specialist.

Recommendations

• Eliminate sobriety and prescribing requirements.
• Maintain transparency and parity regarding hepatitis C coverage across the Medicaid program.