Resources for Clinicians
Healthcare providers are key to eliminating viral hepatitis and liver disease in Hawai‘i. To support providers, we have compiled resources such as trainings, updates, and guidelines for the management and treatment of viral hepatitis.
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Hawaiʻi Resources
Hepatitis C
Attestation Form to Prescribe Hepatitis C Direct-Acting Antivirals (DAA) - This form can waive prior authorization for hep C medications from Hawaiʻi MedQUEST insurance plans. To qualify, providers must document hep C education, such as the free, short online training from University Health Partners. (October 2023)
Hepatitis C Provider Education - Free, half-hour online training on simplified hep C treatment for local providers. Participants will receive a certificate of completion, which can be used for the hepatitis C prior authorization waiver from MedQUEST plans. (September 2024)
Hawaiʻi Best Practice Reminder - Automatic Reflex Hepatitis C Virus (HCV) Antibody to RNA Reflex Testing - Handout with billing codes and guidance on automatic hep C reflex testing to RNA from positive antibody. Developed with Hawaiʻi Department of Health and local laboratories. (Updated October 2024)
MedQUEST Memo - Updating Hepatitis C Treatment Access - Memo which reduced prior authorization requirements among Hawaiʻi Medicaid (MedQUEST) insurance plans. (December 2022)
Direct Acting Antiviral (DAA) Medications for Treatment of Chronic Hepatitis C Infection – Memo which reduced restrictions for hep C treatment among Hawaiʻi Medicaid (MedQUEST) insurance plans. (December 2018)
General
Queens Liver Center - Includes electronic referral forms
Hawai’i Learning Group - Resource hub for Harm Reduction Hawai’i ECHO, including hepatitis B and C modules.
Screening and Vaccination
Hepatitis A
Hepatitis B
CDC Hepatitis B Screening Recommendations for All Adults - In March 2023, the CDC released new recommendations for a 3-panel hepatitis B screening for all adults, regardless of risk.
Implementing Hepatitis B Universal Adult Screening and Vaccination: Clinical Answers for Healthcare Professionals - A 3-page PDF summarizing the updated CDC recommendations for hepatitis screening and vaccination (from Immunize.org).
Hepatitis B Vaccination and Screening of Adults: Simple Steps to Protect Yourself from Serious Liver Disease - A 1-page PDF summarizing the updated CDC recommendations for hepatitis screening and vaccination.
“Driving Hepatitis B Management: Universal Screening and Vaccination in Primary Care”(medscape.org) - This free, video-based activity is designed to support clinicians who are working to integrate updated CDC guidelines for hepatitis B virus (HBV) screening, testing, and vaccination into daily practice and is valid for credit through 6/12/2024.
Hepatitis C
Updated Operational Guidance for Implementing CDC’s Recommendations on Testing for Hepatitis C Virus Infection - In July 2023, the CDC issued guidance for supporting automatic HCV RNA testing on all HCV antibody reactive samples.
Billing and Coding
Viral Hepatitis Guide for Primary Care Providers Screening, Vaccination, and Billing – guidance for appropriate hepatitis screening and immunizations, including billing codes and CDC recommendations. Updated April 2022 by the California Department of Public Health.
Guide to Hepatitis C Testing – guidelines for primary care providers, including latest recommendations, billing codes, and resources for educating patients. From the American Academy of HIV Medicine and American College of Physicians
Treatment Guidance
Hepatitis B
AASLD Practice Guidelines, including Treatment of Chronic Hepatitis B
HBV Primary Care Guidance – Simplified algorithm for hepatitis B screening, management, and treatment in the primary care setting, developed by National Task Force on Hepatitis B
Prime Hepatitis B Care and Treatment Toolkit - Toolkit to gather up-to-date insights and practical resources to assess the HBV burden in your region, access expert tips for improving screening and referral pathways in your practice, and download simplified algorithms for HBV treatment and monitoring and liver cancer surveillance (from Prime CME)
Hepatitis C
AASLD Recommendations for Testing, Managing, and Treating Hepatitis C
HCV.com Provider Resources – Abbvie Medical Affairs: hepatitis C quick reference guides, and other materials
Drug Drug Interactions
Hep Drug Interactions – University of Liverpool online drug interaction checker and resources for treating clinicians
Live Consultation
National Clinician Consultation Center - Provides a free warmline and online case form for clinician-to-clinician advice on hepatitis C mono-infection and co-infection testing, management, and treatment. For phone consultation, call (844) 437-4636 Monday – Friday, 9 a.m. – 8 p.m. ET (6 am - 2pm HST)
Kentucky Hepatitis Academic Mentorship Program (KHAMP) - Tele-mentoring training program for primary care providers.
Special Populations
Pregnant People
CDC Recommendations for Hepatitis C Testing Among Perinatally Exposed Infants and Children - In November 2023, the CDC updated testing guidance for infants and children perinatally exposed to Hep C
Provider materials on children, adolescents, young adults and pregnant people living with hepatitis C - In collaboration with specialists in the field of pediatrics, liver disease during pregnancy, harm reduction, and infectious disease, Hepatitis C Mentor and Support Group is offering digital and print materials available for providers free of charge (requires registration)
CDC Obstetrical Tip Sheet - Hepatitis B Screening, Testing, and Management of Pregnant Persons
Management of Infants Born to Women with Hepatitis B Virus Infection for Pediatricians - Provider Tip Sheet from the CDC
Mothers and babies can’t wait: A call for action to end mother-to-child transmission of hepatitis B - This white paper from the World Hepatitis Alliance outlines the context and human impact of mother-to-child transmission. It makes recommendations, which, when carried out in addition to established guidelines, will ensure that services are equitable, accessible, and available to all who need them.
Treatment in Pregnancy for Hepatitis C (Tip-HepC) Registry - The purpose of this global registry is to record outcomes for pregnant people and their infants exposed to hepatitis C direct-acting antivirals during pregnancy. Findings from the registry will be used to advance HCV treatment decision-making by clinical providers and programs worldwide. There is no date restriction in completing this registry (please note this is NOT a surveillance registry)
People Who Use Drugs
Clinical Guidelines Program (New York) – clinical guidelines related to the prevention and treatment of HIV/AIDS, hepatitis C, and substance use designed for practical use by non-specialist care providers
Addressing Viral Hepatitis in People with Substance Use Disorders – quick guide for clinicians and administrators from the United States Substance Abuse and Mental Health Service Administration (SAMHSA)
People in Jails or Prisons
Evaluation and Management of Hepatitis C Virus (HCV) Infection (updated 2021) - Federal Bureau of Prisons (FBOP)
Continuing Education
Hepatitis B
University of Washington Online Hep B Course - Free online modules with CME/CNE credits available
Hepatitis B Online: Challenges and Controversies - Expert Opinions for Challenging and Controversial Cases, with opinions submitted by experts from across the nation
Health Education for Liver Providers (H.E.L.P) - team-based training from National Hep B Task Force
HBV Care in Key Communities: Minimizing Barriers and Optimizing Care - CME/CE-certified videos and podcasts on optimizing care for Asian American patients and special populations.
Hepatitis C
University of Washington Online Hep C Course - Free online modules with CME/CNE credits available
University of New Mexico Hepatitis C ECHO - Each month Project ECHO offers a two-hour virtual hepatitis C virus (HCV) training for New Mexico and/or Indian Country clinicians and their teams.
University of Utah Hepatitis C ECHO - Every Friday 11:30-1:00 PM Mountain Time.
Clinical Care Options - CME/CE-certified (no longer available for credit, 05/6/24) interactive video module on diagnosis, treatment, and cure of HCV infection among persons who inject drugs
International Coalition of Hepatology Education Providers – free education and updates on hepatitis C for healthcare providers (Robert Gish Consultants, LLC)
Bigg Elimination Tribute Project - module-based training to build attendees’ capacity, confidence, and knowledge to integrate HCV screening, testing, linkage-to-care/cure, and support programs into existing infrastructures. 4 CEUs for social workers and counselors are available.
General
Targeting Viral Hepatitis: A Road Map for Providers - Medscape education curriculum on the prevention and management of viral hepatitis, intended for infectious disease specialists, primary care physicians, obstetrician/gynecologists, nurses, nurse practitioners, and physician’s assistants. CME / ABIM MOC / CE are all available. (Requires Medscape login)
HealthHCV - Medical and consumer education and training programs to improve the ability of organizations, professionals, and individuals to address the needs of people living with viral hepatitis
ID Care Live – free online CME courses for healthcare professionals on hepatitis
International Antiviral Society USA – free online CME/CE courses for healthcare professionals on hepatitis