BCBS TexasMedium ImpactCoverage

Review New Clinical Practice Guideline on Hepatitis C

Published January 12, 2026Effective July 23, 2025

AI 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.

Plan Types

All Plans

States

TX

Specialties

family-medicine, internal-medicine, general-practice, pediatrics, ob-gyn, gastroenterology, infectious-disease