11/08/17 Center for Community Practice, University of Rochester, Rochester NY 1

PrEP and PEP Action Kit for Healthcare Providers

Developed by the New York City Department of Health and Mental Hygiene

Content Summary

Section 1: Patient Resources • Trifold for Waiting Room

o Includes brief description of PrEP in English and Spanish o Offers tear-away self-administered questionnaires to help

patients determine if they are candidates for PrEP • Double-Sided Payment Information Cards

o Includes information for uninsured and under-insured patients concerned about paying for PrEP or PEP

o English and Spanish copies o Assistance program information specific to New York State

• Double-Sided PrEP Information Cards o Includes infographic which explicitly demonstrates how PrEP

can be useful for patients of all gender identities and sexual orientations and practices

o Includes concise information in English and Spanish about what PrEP is, who PrEP may benefit, and how to get additional information about PrEP services

• PrEP Brochures o Include more expanded information about PrEP, including facts,

information about payment, follow-up information, and resources

o English and Spanish o Includes infographic which includes all gender identities and

sexual identities and practices • “PrEP Yourself Against HIV” Poster

o Double sided, English on one side, Spanish on reverse side o Advertise PrEP as good intervention for patients who:

Are HIV negative in serodiscordant relationships Are HIV negative and don’t always use condoms Are HIV negative and a sex worker Are HIV negative and have multiple partners

o Includes a website and QR code with more information

11/08/17 Center for Community Practice, University of Rochester, Rochester NY 2

Section 2: Provider Resources

• Informational Reference Cards o Taking a Sexual History

5P’s of sexual health • Partners • Practices • Protection from STIs • Past history of STIs • Prevention of Pregnancy

o Recommended PrEP Regimen Truvada medication information Common side effects Resources for providers Is PrEP indicated? Pre-prescription testing Follow up and monitoring

o Recommended PEP regimen 28-day regimen medication options Resources for providers PEP triage protocol

• Dear Colleague Letter from NYS AIDS Institute Director o Provides information about the kit, the current state

of HIV/AIDS in NYS, information about the online PrEP provider registry, and brief mention of additional resources

• Provider FAQ sheet o Answers frequently asked questions such as:

Which of your patients may benefit from learning about PrEP?

Can PrEP information be offered when discussing sexual health?

How can my patients pay for PrEP? What if my patient has a positive HIV test

while on PrEP? o Also provides a substantial listing of provider-focused

resources • CDC Fact Sheet on PrEP

o Includes scientific information regarding: Medications approved for PrEP Research among MSM Research among heterosexual men and women CDC interim guidance on PrEP Ongoing and planned trials Next steps in assessing and maximizing benefits of PrEP

• Efficacy-centered trials

11/08/17 Center for Community Practice, University of Rochester, Rochester NY 3

• Fact Sheet for Non-providers

o Includes information such as: Background information Other examples of pre-exposure prophylaxis The role of non-clinical providers in promoting PrEP Eligibility Overview of clinical guidelines

• 2015 CDC STD Screening and Treatment Guidelines • Payment Options for PrEP

o New York State-specific o Categorizes payment options depending upon

type of insurance/lack of insurance o Includes options to pay for office visits and lab

testing, in addition to medication assistance programs to pay for the medication itself

o Includes websites and phone numbers in each category

• Recommended PrEP and PEP billing codes o States that there are no PrEP or PEP-specific

codes o Offers recommended billing options for ICD-10 and CPT

• Paper application for the Gilead Truvada Medication Assistance program

• PrEP-AP Summary Letter o Letter from the NYS AIDS Institute describing the NYS

PrEP Assistance Program, a program which provides reimbursement for office visits and lab tests associated with PrEP use

• PrEP-AP Practitioner Agreement Packet o Allows providers to enroll in the PrEP-AP program so that

their patients can receive the benefit • PrEP-AP Practitioner Manual • Clinical Education Initiative Resource Guide

o Includes 3 provider resources HIV Guidelines online

• www.hivguidelines.org CEI Line

• Provides access to a specialist to discuss case-base HIV/HCV, STD, PrEP/PEP care

Free CE Online Educational Resource • A website which allows providers to receive free CME

and CNE credit and stay abreast of HIV/HCV, STD, and PEP/PrEP clinical updates

• Consumer Education Materials Order Form o Allows office managers/providers to offer extra copies of materials

• New York State AIDS Institute Clinical Guidelines for Acute HIV Infection

11/08/17 Center for Community Practice, University of Rochester, Rochester NY 4

• Patient Information Sheet – Acute HIV Infection

o Offers information to patients about Acute HIV What is acute HIV? What tests can show that I have acute HIV? How does it help to find out that I have HIV at an early stage? How is HIV treated? What do I do if I suspect I might have acute HIV infection?

• HIV/AIDS Sentinel Report 2014 o Provides epidemiological data for providers regarding HIV infections in NYS

11/08/17 Center for Community Practice, University of Rochester, Rochester NY 5

Section 3: Additional Educational Materials Used in PrEP Detailing

• PrEP Flowchart

• PrEP PowerPoint Presentation – Handout • Up-to-date billing codes • Online Resources Guide • Self-Testing for STIs Infographic

11/08/17 Center for Community Practice, University of Rochester, Rochester NY 6

• Payment Options for nPEP