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Post Info TOPIC: !Letter From: CMS (Medicaid Fed) To: Each State re. New DAA HCV meds!


Guru

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RE: !Letter From: CMS (Medicaid Fed) To: Each State re. New DAA HCV meds!
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Hi Tig,

Thanks for the welcome.

Spilled my guts over in New Members section, I'll also add some info. to my Signature, that might be helpful.

 

Be Well,



__________________

63yy,HCV,2b,F3-A1, Sof/Riba,12wks Tx   SOT: 1/20/16, HCV-RNA 9,816,581, ALT 56, Hb 14.6

4wk: HCV-RNA <15 Detected, ALT 15, AST 17, Hb 13.6 EOT: 4/12/16, ALT 18 , Hb 12.9176a2f85d05d9c965eafe199f2ba9ba5.jpg SVR Achieved 7/8/16

 

Tig


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Welcome to the forum! I appreciate you sharing this information with us. I'll take a look at my first opportunity. I appreciate receiving these links because we are always searching for ways to help people get access to these treatments. People need this kind of assistance!

Start a new introduction in the New Member section. Tell us a little background if you feel like. I'm glad you're here!



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Tig

66 yo GT1A - 5 Mil - A2/F3 - (1996) Intron A - Non Responder, (2013) Peg/Riba/Vic SOT:05/23/13 EOT:12/04/13 SVR 8+ years!

Hep C FAQ   Lab Ref. Ranges  HCV Resistance

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Guru

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Not sure it will help anyone on Medicaid trying to get meds but there's some pretty strong language from CMS re. the restrictions states are putting on their Medicaid clients (i.e. Letter from the Feds to states saying you may be in violation of 1927 Social Security Act (Section ?) by placing these restrictions on Medicaid patients.

Letter is dated Nov 5, 2015 so it's fairly new.

Just thought it might come in handy if going for Appeal or Administrative Hearing in some states.

Might be worth checking out.

 

Note: See in particular "Permissible Limitations to Medicaid Drug Coverage"

https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Prescription-Drugs/Downloads/Rx-Releases/State-Releases/state-rel-172.pdf



__________________

63yy,HCV,2b,F3-A1, Sof/Riba,12wks Tx   SOT: 1/20/16, HCV-RNA 9,816,581, ALT 56, Hb 14.6

4wk: HCV-RNA <15 Detected, ALT 15, AST 17, Hb 13.6 EOT: 4/12/16, ALT 18 , Hb 12.9176a2f85d05d9c965eafe199f2ba9ba5.jpg SVR Achieved 7/8/16

 

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