This policy brief examines the structural-level opportunities and challenges associated with the delivery of HIV prevention services in or closely linked to the clinical care setting. It focuses on two of the major public programs for HIV care in the U.S: Medicaid, the nation's major public health program for low-income Americans, and the largest source of public financing for HIV/AIDS care in the U.S.; and the Ryan White CARE Act, the nation's only HIV-specific care and support services grant program which operates as the payer of last resort at the state and local level. Together, these programs provide care and support services to a significant proportion of those at risk for and living with HIV and therefore provide an important focus for assessing current prevention integration practice, identifying strategies to enhance integration, and targeting such efforts.
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Palen, J., Levi, J., Wilensky, S., & Kates, J. (2004). Integrating HIV prevention services into the clinical care setting in Medicaid and Ryan White CARE Act programs: Legal, financial, and organizational issues (HIV/AIDS policy brief). Washington, DC: Henry J. Kaiser Family Foundation.