1 Northwest Portland Area Indian Health Board, 2121 Broadway Suite 300, Portland, OR, 97201, USA. firstname.lastname@example.org.
2 United States Indian Health Service, 5600 Fishers Lane, Rockville, MD, 20857, USA.
3 Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD, 21205, USA.
4 Northwest Portland Area Indian Health Board, 2121 Broadway Suite 300, Portland, OR, 97201, USA.
Medicaid, the state-level public insurance in the United States, has widely differing criteria treatment for hepatitis C virus (HCV) such as stage of liver fibrosis, documented sobriety, and specialist consultation. In a rural health network, facilities located in two less restrictive states prescribed HCV drugs at a significantly higher rate than two more restrictive states (rate ratio 4.7, CI 2.6-8.5). Prescription rates per population were highly associated with HCV treatment policies.