TABLE 1.

Comparison of Service Delivery Protocols in Fast Track 1.0 Versus 2.0

	Fast Track 1.0	Fast Track 2.0
HIV testing	Conducted in client's home or PS field office by DIS. Rapid fourth-generation with confirmatory DBS, if indicated.	Referred to SHC for rapid and confirmatory testing. Offered HTK delivery with support.
Telehealth visit	Video call with SHC NP during PS visit, facilitated by DIS.	Stand-alone telephone call with SHC NP facilitated by DIS.
STI testing	Community-based self-collection with delivery to SHC for processing. SHC NP followed up for treatment.	Screened for symptoms by SHC NP (during telehealth visit). Referred to SHC for testing and treatment.
PrEP education/counseling	Provided in-person during PS visit by DIS and during telehealth visit by SHC NP.	Provided via telephone during PS notification by DIS and during telehealth visit by SHC NP.
Contraceptive counseling	Not included.	Provided during telehealth visit by SHC NP.
Insurance navigation	DIS screened for coverage that would allow easy continuation after immediate start. Otherwise, referred for insurance navigation at SHC or CBO.	SHC NP provides referral for all patients interested in PrEP. Provided via telephone by SHC Navigator. Enables immediate start at SHC visit.
Medication start	Immediate starter pack of PrEP or ART (3–6 d) during PS in-person visit (if medically eligible and has coverage to continue medication—see financial navigation).	Immediate start (PrEP or ART) available at SHC visit.
Linkage and referral	Priority SHC visit for patients who wanted linkage there; facilitated referral to CBOs. Primary follow-up for linkage is by DIS.	SHC appointment or facilitated referral to CBO. Follow-up is shared between SHC NP and DIS.