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How did the Testing Guidelines change in response to HCV? 
CDC recommends routine HCV testing for people who have ever injected illegal drugs, even once, as well as people with certain medical conditions, prior recipients of transfusions or organ transplants, and for persons with recognized exposures to HCV
CDC recommends one-time testing of people born between 1945 and 1965 (the baby boomers)
USPSTF issues a Grade B recommendation for screening those at high risk for HCV infection and offering a one-time screening for adults born between 1945 and 1965
  • Under the Affordable Care Act (ACA), preventive services that have received a "Grade B" from the USPSTF are covered by insurance policies without cost-sharing
AASLD and IDSA recommend one-time HCV testing in:
  • All persons born between 1945 and 1965 (Class 1, Level B)
  • All persons with behaviors, exposures, and conditions associated with an increased risk of HCV infection (Class 1, Level B)
March 2014
CMS issues new guidelines covering HCV screening for individuals entitled to benefits under Medicare Part A or enrolled under Medicare Part B. CMS will cover screening tests for:
  • Adults at high risk for infection
  • Adults born between 1945 and 1965
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