We Treat Hep C - Resources for Michigan Providers

GUIDELINES AND ALGORITHMS:

CDC Recommendations for Hepatitis C Testing

Updated Operational Guidance for Implementing CDC's Recommendations on Testing for Hepatitis C Virus Infection New guidance from CDC recommends collecting samples at a single visit, and conducting automatic HCV RNA testing on all HCV antibody reactive samples. The use of strategies requiring multiple visits to collect samples for hepatitis C testing should be discontinued.

ACOG Clinical Practice Guideline "Viral Hepatitis in Pregnancy" this ACOG clinical practice guideline recommends routine, universal screening early in each pregnancy for hepatitis B and hepatitis C, and when possible, pre-pregnancy hepatitis C screening is recommended in accordance with the recommendation for screening at least once in all adults. ACOG recommends pregnant patients who screen positive for hepatitis C infection during pregnancy are connected with hepatitis care so they can begin treatment postpartum and after completion of lactation, and to connect patients who test positive for hepatitis C before pregnancy to treatment so they can complete treatment before becoming pregnant. 

MATEC + WSU Simplified Guidelines for Hepatitis C Treatment in Adults a step-by-step outline to managing HCV patients from testing, assessing liver status, ordering labs, prescribing and monitoring during treatment, to post-treatment evaluation.

AASLD + IDSA Hepatitis C Treatment Algorithm for Treatment-Naïve Adults Without Cirrhosis 

AASLD + IDSA Hepatitis C Treatment Algorithm for Treatment-Naïve Adults With Compensated Cirrhosis

AASLD + IDSA Hepatitis C Point of Care Test and Treat Algorithm

AbbVie HCV Healthcare Providers Hub - website with information and resources for healthcare providers who want to learn more about hepatitis C.

Fibrosis-4 (FIB-4) Calculator tool for estimating the amount of scarring in the liver

AST to Platelet Ratio Index (APRI) Calculator tool for calculating APRI score

Child-Turcotte-Pugh (CTP) Calculator tool for calculating cirrhosis severity 

Michigan Department of Corrections - Medical Records Request Process - to request medical records for a patient who was incarcerated at the Michigan Department of Corrections, a Patient Authorization for Disclosure of Health Information (CHJ-121) authorization form should be completed and submitted. There is no fee for providers requesting medical records as it is viewed as continuity of care. 

FACT SHEETS:

We Treat Hep C Initiative: Impact on Hepatitis C in Michigan - fact sheet demonstrating the impact and significance of We Treat Hep C on moving Michigan towards hepatitis C elimination. 

We Treat Hepatitis C: Clinical Fact Sheet - clinical fact sheet summarizing hepatitis C, the We Treat Hep C Initiative, CDC hepatitis C testing recommendations, and provider trainings and resources.

We Treat Hepatitis C: Patient Fact Sheet - patient fact sheet summarizing hepatitis C, the We Treat Hep C Initiative, CDC hepatitis C testing recommendations, hepatitis C treatment, and resources for the public. 

Michigan Medicaid Preferred Drug List 

Medicaid L21-21 (April 6, 2021) - Removal of Prior Authorization for Hepatitis C Treatment

Standard Prior Authorization Form for Non-Preferred DAA required prior authorization form for HCV treatment using non-preferred DAA

MIEnrolls assists individuals with enrollment into Michigan Medicaid. Contact MI Enrolls toll-free at 800-975-7630 Monday-Friday 8 A.M. - 7 P.M.

Overdose Prevention Engagement Network - View the 3-Part Hepatitis C webinar series below:

• Part 1: Hepatitis C Screening and Epidemiology (April 28, 2021) 
• Part 2: Hepatitis C Treatment (May 24, 2021)
• Part 3: Hepatitis C Post-Treatment and Key Topics for Consideration (June 10, 2021)

Michigan Center for Rural Health - Project ECHO model® creating a community collaboration to assist providers and other members of the health care team throughout Northern Michigan and the Upper Peninsula more effectively and confidently manage their infectious disease patients. Each session accredited for 1 hour of CME. For more sessions, visit the Project ECHO website. 

• Past Recording: Exploring the New Land of HCV Therapy (February 16, 2024)
• Past Recording: Hepatitis C for Medical Providers (March 20, 2024)

CDC Recommendations for Hepatitis C Testing Among Perinatally Exposed Infants and Children - United States, 2023 

• Intended for primary care clinicians, pediatricians, infectious disease specialists, nurse practitioners, nurses, pharmacists, physician assistants, and other healthcare professionals who care for children at risk for hepatitis C virus infection.  

Hepatitis C Online - Free education from the University of Washington Infectious Diseases Education and Assessment program. Free CNE/CME available.

• Overview of the HCV Test and Cure Module - A succinct version of the full Hepatitis C Online curriculum. This 5-hour highly interactive module will assist health care providers with developing core proficiency in screening and diagnosing hepatitis C, providing direct-acting antivirals, and assessing for cure. Free CNE/CME available. 
• HCV in Children and Adolescents - This module will help clinicians understand trends in perinatal HCV transmission, screening and treatment in children and adolescents with chronic HCV. 1.0 free CME/CNE/Pharmacology CE for APNs/CE and a Certificate of Completion, expires June 28, 2028. 

Medscape Education + HealthHCV - Targeting Viral Hepatitis: A Road Map for Providers 

• On-demand activity services featuring expert perspectives on the prevention and management of viral hepatitis for clinical providers.
• Up to 1.75 credits/contact hours (CME, ABIM MOC, CE) are available upon completion of these activities.
• Activities in the series include:
  • How Do You Stack Up? Case Challenges in Guideline-Based Management of Viral Hepatitis
  • Are Your Workflows Working? Embedding Hepatitis Screening and Vaccination into Routine Care
  • Closing the Loop: Smarter Workflows for Hepatitis Screening and Prevention