MedicaidPrior AuthMedium impact
Hepatitis C Drug Prior Authorization Removal Effective July 1, 2023
Illinois Medicaid - HFS·IL · Gastroenterology, Infectious Disease, Internal Medicine +1 more·Provider Notice
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Prior authorization requirements for preferred Hepatitis C drugs will be removed effective July 1, 2023, for Illinois Medicaid fee-for-service and managed care plans. Prescribing practitioners must complete at least one hour of Hepatitis C-focused CME and will need to provide proof of training through a new HFS attestation process.
Action Required
By July 1, 2023: Billing team should update prior authorization workflows to remove requirements for preferred Hepatitis C drugs for Illinois Medicaid patients. Providers prescribing Hepatitis C medications must complete required CME training and prepare to submit attestation through IMPACT system once process is established by HFS. Monitor for additional guidance on attestation requirements.