Tennessee

State of Hepatitis C
Medicaid Access:

A-

Tennessee

Liver damage restrictions

Tennessee Fee-For-Service (FFS) and managed care organizations (MCOs) do not impose liver damage restrictions.

Sobriety restrictions

Tennessee FFS and MCOs do not impose any sobriety restrictions.

Prescriber restrictions

For most patients, Tennessee allows any physician to prescribe treatment, without requiring a consultation with a specialist. However, for patients in certain clinical situations
(including decompensated cirrhosis, history of HIV, co-infection with HBV, or prior treatment for HCV), the state requires a prescription to be written by or in consultation with a specialist.

Recommendations

  • Remove sobriety and prescriber restrictions.
  • Maintain parity across FFS and MCO programs and transparency regarding hepatitis C coverage requirements.
  • Remove prior authorization requirements for patients who qualify for simplified treatment.

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