Provider Resources

 
 
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This is a list of resources for training primary providers and other healthcare workers about the importance of HCV screening and linkage to care.

Orientation to Baby Boomer HCV Screening

CDC: A Guide to Comprehensive Hepatitis C Testing and Counseling
This booklet provides guidance for counseling and testing of individuals who are at risk for or are living with hepatitis C.

  1. For use in public health settings, use click here.
  2. For use in primary care settings, use click here.

Advances in Hepatitis C Identification and Treatment
This PowerPoint, created by Dr. Camilla Graham, MD, BIDMC, further outlines how to implement and extend providers’ knowledge surrounding hepatitis C birth cohort testing for Baby Boomers.

Community-Based HCV Testing
This PowerPoint, created by Dr. Stacey Trooskin at Philadelphia FIGHT, outlines HCV epidemiology, counseling and testing, confirmatory protocol, and linkage protocol for other community-based organizations providing HCV testing in the field.

HCV Testing Toolkit for Primary Care Providers (Georgia Public Health Department)
This toolkit was developed for primary care providers and contains all of the resources needed to promote hepatitis C testing.

Hepatitis B and C Screening Toolkit for Providers: California Department of Health
This toolkit provides guidance on screening, immunizations, serology and codes for billing, including ICD-9 and ICD-10 codes.

C a Difference Card
This card provides patients with brief information on getting tested for hepatitis C. For more information on the C a Difference program, click here for a number to call.

C a Difference Provider Handout
This handout provides an overview of the C a Difference testing and linkage to care program.

Testing and Lab Order Details

CDC Testing Guidance
This document provides clinicians and laboratorians with updated guidance on testing for HCV infection.

CDC Testing Algorithm
This flow-chart outlines the HCV testing process for a current HCV infection, from antibody testing to confirmatory tests and subsequent linkage to care.

Hepatitis C Card
This convenient card provides clinically relevant information on recommended HCV screening guidelines, lab tests and monitoring.

CDC Lab Interpretation Table
This table serves as a guide to interpret HCV test results.

Commercial lab information on reflex testing

Reflex testing denotes that a laboratory will automatically perform an HCV RNA test on a specimen only if the HCV antibody test is reactive. Reflex testing allows active HCV infection to be confirmed or excluded with a single test order, obviates the need for the patient to return for follow-up testing, and expedites identification of persons with current HCV infection.

Dear Colleague Letter
This letter provides an example for health departments or other organizations seeking to provide colleagues with  information on HCV reflex testing as a method for ensuring timely HCV diagnosis and linkage to care.

ARUP Test #2010784
This link provides information on ARUP’s testing algorithm and test numbers for HCV reflex testing.

Quest search test #8472
This documents offers an update on Quest Diagnostics testing, which now no longer offers solely HCV antibody testing, but reflexes a positive antibody test to an RNA detection by PCR.

LabCorp Test #144045
This document outlines LabCorp’s testing algorithm and test numbers for HCV reflex testing.

BioReference, search test # B125-6
This link provides information on BioReference’s testing algorithm and test numbers for HCV reflex testing.

For coding, billing, and coverage information, click here.

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For Primary Care Providers

One-page handouts for PCPs
This one-page handout gives providers an overview of HCV testing, counseling messages, and initial management of the disease.

HepCAP HCV 101 Presentation          
This presentation by Dr. Stacey Trooskin, MD, gives providers an overview of HCV testing, evolving treatment,and linkage to care.

C a Difference Overview: Clinical and Community Testing Programs          
This slide deck provides an overview of the C a Difference program’s efforts to understand and meet the needs of patients engaged in clinical or community-based HCV screening efforts. For more on the C a Difference program, click here.

HCV Baby Boomer Screening and Linkage to Care Programs          
This PowerPoint, developed by Dr. Camilla Graham, MD, MPH, outlines Baby Boomer screening and linkage to care programs in the U.S.

Rhode Island Defeats Hep C (RID Hep C) Toolkit for Patients and Providers

HIV/HCV Drug-Drug Interactions on ARVs/DAAs
This handout provides guidance on the treatment of chronic HCV infection in HIV/HCV-coinfected patients.

Educational Handout on Elastography (FibroScan)
This handout outlines elastography, why it’s important, what a test entails, and where an individual can get a Fibroscan test in Rhode Island.

Educational Handout on Endoscopy
This handout outlines endoscopy, why it’s important, and what a test entails.

Hepatitis C Evaluation Handout
This handout provides a flowchart with testing instructions, risk reduction counseling, staging information, and other evaluations for chronic HCV.

RID Hep C Recommended Reading List
This bibliography includes important hepatitis C documents and papers, including those on HCV screening, HCV in Rhode Island, HCV and people who inject drugs (PWID), and HIV/HCV coinfection.

A Patient Medication Adherence Calendar 2015/2016: PDF
This blank calendar template allows patients to check off boxes as they take their medication. It is in pdf form.

A Patient Medication Adherence Calendar 2015/2016: Word Doc
This blank calendar template allows patients to check off boxes as they take their medication. It is in word document form.

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Care Navigation

HCV Treatment and Insurance Protocol: Prior Authorization Process
This document outlines the prior authorization process a provider must complete to initiate a patient’s HCV treatment.

Initiating Treatment Guide
This document gives providers a checklist of factors to consider when deciding upon treatment for a patient with hepatitis C, and outlines treatment options as of March 2015.

Medicare Learning Network (MLN) Matters Article: HCV
This article is for physicians, other providers, and suppliers submitting claims to Medicare Administrative Contractors (MACs) for Hepatitis C Virus (HCV) screening services provided to Medicare beneficiaries.

A Provider's Perspective: Management and Treatment of HCV in PWID
Dr. Stacey Trooskin gave this presentation at the United States Conference on AIDS in September 2016. The presentation outlines the prioritization of PWID in HCV treatment, treatment access for PWID, harm reduction, and secondary prevention for PWID.

Overcoming Barriers to HCV Care
This presentation was created by Dr. Stacey Trooskin, MD, PhD, of Philadelphia FIGHT. It provides an overview of HCV epidemiology, Philadelphia’s cascade of care, testing and linkage protocol, and best practices for integrating HCV testing into primary care settings.

HCV Treatment Assessment and Monitoring Algorithm                                                                                  Maggie Beiser with Boston's Healthcare for the Homeless Program (BHCHP) shared this treatment algorithm, which may be particularly helpful for primary care based treatment providers. 

Strategies for Hepatitis Treatment Access
In this webinar, panelists discuss strategies for treatment access for patients living with hepatitis C.

Appeal Letters
Attached are template letters for insurance appeals for Viekira Pak and Harvoni.

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Hepatitis C Treatment Resources

HCV Guidance: Recommendations for Testing, Managing, and Treating Hepatitis C
This report outlines the AASLD and IDSA recommendations management issues ranging from testing, linkage to care, improving health outcomes for people living with hepatitis C, and optimal treatment regimens.

Project ECHO
Project ECHO is a teleconferencing system led by teams of experts, who educate primary care
doctors, nurses, and other clinician in specialty care in their communities.

National Hepatitis Training Institute
The National Hepatitis Training Institute provides training to frontline workers in community based organizations and clinics on hepatitis prevention, diagnosis, management, treatment and integration.

Hepatitis C Online
Hepatitis C Online is a free educational web site from the University of Washington. The site is a comprehensive resource that addresses the diagnosis, monitoring, and management of hepatitis C virus infection.

Alaska Native Tribal Health Consortium (ANTHC)
The ANTHC Liver Disease and Hepatitis Program provides up-to-date U.S. recommendations and guidelines for the care of viral hepatitis and liver disease as well as other resources and clinical assessment tools for providers serving Alaska Native/Indian American populations.

HCV Current Initiative
HCV Current is a national initiative among the Addiction Technology Transfer Center Network (ATTC) to increase hepatitis C (HCV) knowledge among medical and behavioral health professionals by providing online and in-person curriculum and training, downloadable provider tools, and region-specific resources.

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C a Difference: Example of a Successful Embedded Testing Program

The C a Difference Program is a comprehensive testing and linkage to care program for hepatitis C. The materials below include all the materials from the program:

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Strategies from Community Groups to Expand Testing

FAQs on the 2014 New York State Hepatitis C Testing Law
In late 2013, New York state passed a law that required that every Baby Boomer receiving inpatient hospital or primary care should be offered a hepatitis C test. This webpage outlines frequently asked questions regarding the implementation of this law.

Hep C Connection’s CME Class
This is an example of using malpractice insurance as an important way to educate primary care providers and encourage screening for hepatitis C. This can be used as a template for other similar classes.

Veterans Affairs

Hepatitis C: Information for ProvidersThis fact sheet outlines general information concerning the intersection between hepatitis C and veterans’ health.

Hepatitis C: 10 Things to Increase Awareness at Your FacilityThis sheet lists ten suggestions for VA hepatitis coordinators and clinicians to increase awareness of hepatitis C.

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