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Texas Medicaid/CHIP Vendor Drug Program Medicaid FeeForService Prior Authorization Criteria and Policy Antiviral Agents for Hepatitis C Virus Initial Request I. Eligibility 1. Patient is enrolled
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How to fill out hepatitis c - blue

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Gather all necessary documents such as medical history, personal identification, and insurance information.
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Anyone who suspects they may have been exposed to the hepatitis C virus.
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Hepatitis C - Blue is a form used to report cases of Hepatitis C.
Healthcare providers and facilities are required to file Hepatitis C - Blue.
Hepatitis C - Blue can be filled out online or submitted through a secure portal.
The purpose of Hepatitis C - Blue is to track and monitor cases of Hepatitis C.
Information such as patient demographics, lab results, and treatment history must be reported on Hepatitis C - Blue.
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