HIV and Hepatitis C surveillance and treatment Sample Clauses

HIV and Hepatitis C surveillance and treatment. In keeping with guidelines from the Centers for Disease Control and Prevention and the United States Preventive Services Task Force (“USPSTF”), Provider shall ensure all Inmates are tested for Hepatitis C and HIV as part of their initial clinical evaluation which must be within 14 days of incarceration. Testing shall be offered using an “opt-out approach” in which the Inmate is informed that they will be tested for HIV and Hepatitis C along with other screening and diagnostic testing unless they opt-out/refuse. The cost of all medications relating to these conditions are borne by the Pharmacy Contactor, not Provider. Inmates who show evidence of active Hepatitis C disease must receive appropriate laboratory and physical evaluation for disease staging and treatment planning and must be started on treatment with direct acting antivirals (“DAAs”) with the aim of curing Hepatitis C. a. Treatment with DAAs must be in keeping with the guidelines of the American Association for the Study of Liver Disease (“AASLD”) and must be initiated within 3 months of diagnosis of Hepatitis C in all Inmates who meet the following criteria: ● Sentenced Inmate (not a detentioner) ● Has evidence of advanced liver disease/ advanced fibrosis/cirrhosis as indicated by laboratory testing, physical exam findings and/or imaging studies ● Is reasonably expected to remain in DDOC for the full duration of HCV treatment (i.e. has 12 weeks or more left on their sentence) ● Is willing to be treated ● There are no medical contraindications to treatment ● Within 6-9 months of diagnosis of Hepatitis C in all Inmates who meet the following criteria: ● Sentenced inmate (not a detentioner) ● At time of diagnosis, does not have any laboratory, physical exam or imaging studies concerning for advanced liver disease/advanced fibrosis or cirrhosis ● Laboratory studies (HCV viral load) done at least 6 months after initial diagnosis show persistence of Hepatitis C (i.e. has not spontaneously cleared infection) ● Has remaining sentence of at least 12 weeks ● Inmate is willing to be treated ● There are no medical contraindications to treatment b. Treatment of HCV may be done by primary care providers or by subspecialists (infectious disease or gastroenterology). The following groups of Inmates, however, must be treated by either an infectious disease doctor or a hepatologist/gastroenterologist (Note that even for these Inmates, the timeframes listed above for when treatment must start shall be adhered to):...
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