Common use of PREP AND NPEP Clause in Contracts

PREP AND NPEP. Grantee shall: 1. Submit a Work Plan for up to four (4) years that demonstrates the ability to generate sufficient program income to sustain provision of PrEP/nPEP services in the clinic(s) without funding support through DSHS (Note: DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfall. Refer to the end of Section I: General Requirements for All Grantees); 2. Deliver each of the program components listed below: a. Promotion of PrEP/nPEP through community education and awareness b. Promotion of adoption of PrEP/nPEP by local clinical providers; and c. Delivery of PrEP/nPEP clinical and client support services; 3. Tailor education and recruitment efforts to the priority population(s) identified in the approved Work Plan; 4. Assess awareness of PrEP/nPEP and barriers to use in each priority population; 5. Raise awareness of PrEP and nPEP and address barriers to these services, and engage in active client outreach and recruitment, which must include online and social media activities; 6. Create or expand existing partnerships with community-based organizations (CBOs), LGBT organizations, private health care providers, clinics, Disease Intervention Specialists (DIS), and community health centers to increase access to PrEP and nPEP; 7. Maintain a Community Advisory Board to assist with programmatic decision- making; 8. Undertake activities to increase the number of clinical providers in the community who prescribe PrEP or nPEP; 9. Implement supportive services and activities using patient flows and staff roles that best serve clients and best fit their organizational structure and staffing; 10. Provide PrEP and nPEP services in accordance with the most current CDC guidelines for PrEP and nPEP; 11. Conduct initial and follow-up laboratory testing as recommended in treatment guidelines, with more frequent STI testing as needed (Note: Grantee must prescribe medications following treatment guidelines); 12. Develop patient care protocols, policies, and procedures, and share them with other stakeholders and providers; 13. Track clients who have completed their nPEP regimen and how they will be linked to PrEP services; 14. Ensure that clinical PrEP and nPEP services include formal intake and eligibility determination processes; 15. Ensure that clients receive basic education on PrEP and nPEP, including the pros and cons of PrEP/nPEP, side effects and long-term safety, and other HIV prevention options; 16. Provide clinical services staff appropriate supervision; 17. Not use DSHS funds to pay for PrEP or nPEP medications, although funds may be used to pay for clinical staff time (through salary or contract) and medical testing; 18. Ensure that client supportive activities (including individualized plans to promote adherence) wrap around PrEP and nPEP clinical services and increase the likelihood that clients will use PrEP and/or nPEP effectively and safely; 19. Ensure that staff assist with obtaining treatment medications (Note: This includes understanding how pharmacy benefits are typically structured in public and private insurance plans and being able to assist clients with accessing these benefits. For uninsured clients, staff must aid with applying to local medical assistance programs or patient assistance programs offered by drug manufacturers and should screen for eligibility for public insurance); and 20. Assess client needs for HIV prevention, medical services, and social services by examining social and ecological factors that increase vulnerability to HIV.

PREP AND NPEP. Grantee shall: 1. Submit a Work Plan for up to four (4) years that demonstrates the ability to generate sufficient program income to sustain provision of PrEP/nPEP services in the clinic(s) without funding support through DSHS (Note: DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfall. Refer to the end of Section I: General Requirements for All Grantees); 2. Deliver each of the program components listed below: a. Promotion of PrEP/nPEP through community education and awarenessawareness activities; b. Promotion of adoption of PrEP/nPEP by local clinical providers; and c. Delivery of PrEP/nPEP clinical and client support services; 32. Tailor education and recruitment efforts to the priority population(s) identified in the approved Work Plan; 43. Assess awareness of PrEP/nPEP and barriers to use in each priority population; 54. Raise awareness of PrEP and nPEP and address barriers to these services, and engage in active client outreach and recruitment, which must include online and social media activities; 65. Create or expand existing partnerships with community-based organizations (CBOs), LGBT organizations, private health care providers, clinics, Disease Intervention Specialists disease intervention specialists (DIS), and community health centers to increase access to PrEP and nPEP; 76. Maintain a Community Advisory Board to assist with programmatic decision- making; 87. Undertake activities to increase the number of clinical providers in the community who prescribe PrEP or nPEP; 98. Implement supportive services and activities using patient flows and staff roles that best serve clients and best fit their organizational structure and staffing; 109. Provide PrEP and nPEP services in accordance with the most current CDC guidelines for PrEP and nPEP; 1110. Conduct initial and follow-up laboratory testing as recommended in treatment guidelines, with more frequent STI testing as needed (Note: needed. Grantee must prescribe medications following treatment guidelines); 1211. Develop patient care protocols, policies, and procedures, and share them these with other stakeholders and providers; 1312. Track clients who have completed their nPEP regimen and how they will be linked to PrEP services; 1413. Ensure that clinical PrEP and nPEP services include formal intake and eligibility determination processes; 1514. Ensure that clients receive basic education on PrEP and nPEP, including including: the pros and cons of PrEP/nPEP, side effects and long-term safety, and other HIV prevention options; 1615. Provide clinical services staff appropriate supervision; 17. Not use DSHS funds to pay for PrEP or nPEP medications, although funds may be used to pay for clinical staff time (through salary or contract) and medical testing; 1816. Ensure that client supportive activities (including individualized plans to promote adherence) wrap around PrEP and nPEP clinical services and increase the likelihood that clients will use PrEP and/or nPEP effectively and safely; 1917. Ensure that staff assist with obtaining treatment medications (Note: medications. This includes understanding how pharmacy benefits are typically structured in public and private insurance plans and being able to assist clients with accessing these benefits. For uninsured clients, staff must aid with applying to local medical assistance programs or patient assistance programs offered by drug manufacturers and should screen for eligibility for public insurance); and 2018. Assess client needs for HIV prevention, medical services, and social services by examining social and ecological factors that increase vulnerability to HIV.