NVHR believes that all people deserve access to treatment for hepatitis C. One of our top priorities is ensuring that public and private payers end all restrictions to treatment access.
On October 23, 2017, NVHR and the Center for Health Law and Policy Innovation of Harvard Law School released Hepatitis C: The State of Medicaid Access. This report details hepatitis C treatment prior authorization restrictions in all state Medicaid programs, including traditional fee-for-service as well as managed care. The report focuses on three of the most significant prior authorization restrictions to treatment: liver damage, sobriety, and prescriber limitations. It is the most comprehensive public listing of these restrictions to date.
We also released report cards for each state Medicaid program (including District of Columbia and Puerto Rico). These report cards provide a grade for each state based on their prior authorization restrictions and include recommendations for improving access for hepatitis C patients. Report cards are updated as states change their Medicaid policies.
You can view the January 2022 Progress Report update on restrictions here.
NVHR Advocacy and Analysis
- Letter to Iowa Medicaid (January 2022)
- Letter to CMS on TennCare III Project, drafted with support from the National Health Law Program (September 2021)
- Letter to Virginia Medicaid in Partnership with the Virginia Hepatitis Coalition (September 2021)
- Letter to Nebraska Medicaid (June 2021)
- Research Poster on State Policies Limiting Progress Towards HCV Elimination in the U.S., in collaboration with CHLPI (November 2020)
- Letter to Alabama Medicaid (November 2020)
- Letter to Illinois Medicaid (November 2020)
- Letter to Maryland Medicaid (November 2020)
- Letter to Minnesota Medicaid (November 2020)
- Letter to North Carolina Medicaid (November 2020)
- Letter to Ohio Medicaid (February 2020)
- Letter to Centers for Medicare & Medicaid Services (CMS) (October 2019)
- Letter to Texas Department of Health and Human Services (2019)
- Letter to Texas Department of Health and Human Services and Medicaid (2019)
- Letter to U.S. Department of Health and Human Services (HHS) (May 2018)