Leveraging Financing and Coverage Benefits: Medicaid Strategies to Deliver PrEP Intervention Services
The first of two white papers produced by the Medicaid Strategies to Implement Comprehensive Pre-exposure Prophylaxis (PrEP) Clinical Care Services project, this paper presents a framework for considering applicable Mediciad program levers to increase and improve PrEP delivery as well as an overview of Medicaid financing issues for PrEP specific to provider and setting types.
Pre-exposure prophylaxis, or PrEP, is a highly effective HIV prevention intervention that is dramatically underused, with one recent analysis suggesting that fewer than 1 in 10 people with indications for PrEP in the U.S. are receiving it. As a part of the Medicaid Strategies to Implement Comprehensive PrEP Clinical Care Services project, this white paper identifies Medicaid benefits and financing mechanisms that could be used to improve uptake and comprehensive delivery of PrEP medication and clinical care.
A second white paper describes ways to leverage the Medicaid program to engage patients and providers in accessing PrEP and utilizing the full suite of recommended PrEP clinical services.