North Dakota

State of Hepatitis C
Medicaid Access:

C+

North Dakota

Liver damage restrictions

Fee-For-Service (FFS), Primary Care Case Management (PCCM), and Managed Care Organization (MCO) BlueCross BlueShield North Dakota do not impose liver damage restrictions.

Sobriety restrictions

FFS/PCCM and BlueCross BlueShield North Dakota require three months of abstinence from alcohol and injection drug use documented by at least 2 drug and alcohol tests.

Prescriber restrictions

FFS/PCCM and BlueCross BlueShield North Dakota require a prescription to be written by or in consultation with a specialist in certain clinical scenarios. Primary care providers may prescribe treatment for treatment naïve, uncomplicated cases.

Recommendations

  • Remove sobriety requirements.
  • Maintain parity across FFS and MCO and transparency regarding hepatitis C coverage requirements.

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