Insurance Coverage & Cost-Effectiveness

PEHTI offers guidance and technical support on health insurance coverage and/or reimbursement/billing (if fee-for-service) for routine HIV screening in healthcare settings (i.e. incl. managed care documentation of fulfillment of standard-of-care for preventive services and billing codes for services provided under fee-for-service health insurance). The following reference documents provide guidance:

To effectively direct opt-out HIV screening across various settings, it is necessary to monitor services, expenditure/health coverage costs, and evaluate outcomes of services including assessment of the cost-effectiveness and cost-benefit thereof.