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Fee-For-Service (FFS) and most managed care organizations (MCOs), Aetna, Amerigroup, CareFirst, Kaiser Permanente, Jai, Maryland Physicians Care, MedStar, and UnitedHealthcare Community Plan, do not impose any liver damage restrictions. One MCO, Priority Partners, has unclear liver damage restrictions.
FFS and most MCOs (Aetna, Amerigroup, CareFirst, Kaiser Permanente, Jai, Maryland Physicians Care, MedStar, and UnitedHealthcare Community Plan) do not impose sobriety restrictions. Priority Partners requires screening for active alcohol and substance use.
FFS and most MCOs (Aetna, Amerigroup, CareFirst, Jai, Maryland Physicians Care, MedStar, and UnitedHealthcare Community Plan) require that patients have a treatment plan developed by or in collaboration with a provider with expertise in hepatitis C management but does not require certain specialists to prescribe or consult. Kaiser Permanente requires a prescription by or in consultation with a gastroenterologist, hepatologist, infectious disease or transplant specialist. Priority Partners has unclear prescriber restrictions.
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