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Fee-For-Service (FFS) and managed care organizations (MCOs) do not impose liver damage requirements.
FFS and four MCOs, Aetna Better Health of New Jersey, Amerigroup, Horizon NJ Health, and UHC do not impose sobriety restrictions. One MCO, WellCare, requires that providers evaluate urine toxicology results and consider treatment for active substance users on a case-by-case basis.
FFS and two MCOs, Aetna and Amerigroup, do not impose prescriber restrictions. One MCO, UnitedHealthcare Community Plan, requires a specialist to prescribe. Two MCOs, Horizon NJ Health and WellCare, have unclear prescribing requirements.
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