All PlansCoverageMedium impact
Review New Clinical Practice Guideline on Hepatitis C
BCBS Texas·TX · Family Medicine, Internal Medicine, General Practice +4 more·Medical Policy
Effective date
Jul 23, 2025
We identified it
Jan 12, 2026
Summary
Blue Cross Blue Shield of Texas adopted new clinical practice guidelines for hepatitis C testing, management and treatment from national medical associations. The guidelines recommend universal one-time HCV screening for all adults 18+ and pregnant members, simplified treatment algorithms without genotype testing, and expanded eligibility for treatment including children ages 3+.
Action Required
Immediately: Providers should begin screening all eligible patients 18+ for hepatitis C per universal testing recommendations and screen pregnant members during each pregnancy. Update clinical workflows to implement simplified treatment algorithms without requiring genotype testing or intensive monitoring for eligible patients. Refer to specialists if treatment exclusions apply.