1. Anita Nwachuku
PREV648
Policy Paper Outline
Policy Issue: Should state coverage of routine screening for HIV be a requirement under
a traditional Medicaid benefit package? Do you plan to discuss in the context of one
state? Are you ruling out that it could be a federal mandate?
Policy Background and Significance
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HIV/AIDS Epidemic in the US
o Overview of US Statistics
o Current Recommendations on HIV Testing
Why should states be required to cover for routine HIV screening under
traditional Medicare Benefit Packages? Why not?
Current Initiatives
o The Office of National AIDS Policy
 The National HIV/AIDS Strategy
o DHAP: Division of HIV/AIDS Prevention
 DHAP Strategic Plan
Overview of Medicaid
o Brief History
o Who are the beneficiaries?
o What services are provided?
o Current status of HIV testing for Medicaid beneficiaries
Costs; all Medicaid recipients or targeted? Why?
Policy OptionsProvide pros and cons for all options; these will lead to and support
the policy recommendation
List more options
- State coverage for routine HIV screening should remain an optional service
offered under traditional Medicaid benefit packages.
- State coverage for routine HIV screening should become a required service
offered under traditional Medicaid benefit packages.
Policy Recommendation
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I recommendthat states be required to extend coverage for routine screening of
HIV under traditional Medicaid benefit packages.
GRADE=90