Care Navigation

This section has resources for navigating prior authorization, appeal insurance denials, and best practices for treatment assessment and monitoring.

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.

Hepatitis C Treatment Resources

This section includes educational resources for best practices in HCV treatment.

Hepatitis C Warmline (HEPline) – Free advice for clinicians
The University of California, San Francisco’s, Clinician Consultation Center provides hepatitis C management consultation to health center providers. This is a free, real-time clinician-to-clinician telephone consultation, addressing the care and treatment of people with hepatitis C. Access the Warmline toll-free at: 1-844-437-4636 (Monday-Friday, 9 a.m.- 8 p.m. ET). Click here for more information.

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.

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.

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.

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