Health Insurance Contracting for HIV Prevention and Wraparound Service Providers

Health Insurance Contracting for HIV Prevention and Wrap-Around Service Providers

This guide provides HIV prevention and wrap-around providers with basic information to help them successfully participate in and navigate the rapidly changing health insurance market. The guide identifies specific services that may be offered to health insurers serving individuals needing HIV screening, prevention services, or HIV health and supportive services. The guide offers specific steps for contracting with publicly funded health insurers, such as Medicaid and Medicare. These insurers commonly pay for services directly through fee-for-service (FFS) arrangements or indirectly through participation in managed care organizations (MCOs) who contract with the funder to serve large numbers of their enrollees. The guide also addresses steps for contracting with commercial health insurers, including MCOs.

Please click on the following link to download Health Insurance Contracting for Prevention and Wrap-Around Providers.