USPSTF Expands ACA Preventive Care to Include Hepatitis C Screening

In March 2020, the U.S. Preventive Services Task Force (USPSTF) recommended an “B” rating for hepatitis C virus (HCV) screening in adults aged 19 to 79 years. Under the Affordable Care Act (ACA), group health plans must provide USPSTF “A” and “B” ratings to plan participants with no cost-sharing.

No later than the next plan year that begins on or after one year from the recommendation date, plan sponsors must incorporate the new hepatitis C virus (HCV) screening recommendations into their plan design at no cost-sharing as it does with other preventive care under the ACA.

Plans, however, may still impose certain reasonable medical management techniques such as requiring prior authorization. Employers should consult with their insurance carrier or third-party administrator to confirm that the new HIV preventive care recommendations are incorporated into its plan.

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