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South-Carolina-August-2023.pdf
Preview of Read Full State Report
🔗 Source: stateofhepc.org
📊 Size: 249 KB
👤 Author: Nabihah
⬇️ Downloads: 92

Summary

South Carolina's Medicaid program has a grade of B for hepatitis C treatment access. Recommendations for improvement include removing prior authorization for HCV treatment, ensuring transparency and parity across fee-for-service (FFS) and managed care organizations (MCOs) regarding HCV coverage criteria, and removing additional restrictions. As of April 2023, 1,318,655 individuals were enrolled in Medicaid and CHIP, with 81% in MCOs and 19% in FFS. The state's Medicaid Preferred Drug List includes Mavyret, sofosbuvir/velpatasvir, and Vosevi. Prior authorization is required for all HCV treatment regimens, but there are no fibrosis or substance use restrictions. However, some MCOs impose more stringent criteria than FFS, and additional restrictions include requiring all tests to be collected within 6 months of requesting treatment and documentation of genotype.

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Description

South Carolina's Medicaid program has a grade of B for hepatitis C treatment access.

Technical Information

  • File Format: PDF
  • File Size: 249 KB
  • Pages: 2
  • Language: EN
  • Author: Nabihah
  • Total Downloads: 92
  • Last Updated: 3 days ago

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