MedicaidPrior AuthMedium impact
25-1086 New Policy Expands Access to Hepatitis C Treatment
Health Net·CA · Gastroenterology, Infectious Disease, Internal Medicine +1 more·Prior Authorization
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Effective October 1, 2025, California Medi-Cal has removed the 28-day supply limitation for Hepatitis C treatments, now allowing providers to dispense up to a 12-week supply per fill. This eliminates previous prior authorization requirements for extended supplies and supports treatment completion.
Action Required
By October 1, 2025: Billing team must update Medi-Cal RX dispensing protocols to allow up to 12-week supplies of Hepatitis C treatments without prior authorization for extended supplies. Review Contract Drugs List at Medi-Cal RX portal to identify all eligible treatments. Update pharmacy dispensing guidelines and remove 28-day supply restrictions from billing system for affected medications.