Table 1.

National PrEP Coverage Plan and ERIC Implementation Science Strategies to Facilitate Program Success

National Plan Component	ERIC Implementation Strategy	ERIC Examples
Standard care laboratory and clinician PrEP service Summary: National contract with major laboratory service providers to cover laboratory costs, and billing coverage of clinician service costs	Alter patients’ fees	HIV/STI/creatinine laboratory fees Clinician visit fees
	Make billing easier	Billing through existing Medicare/Medicaid channels, or other standard billing systems Clear guidance on billing procedures, with minimal paperwork
	Quality monitoring	Brief surveys of patients, providers, and administrators Ongoing stakeholder interviews
	Audit and feedback	Utilization metrics with performance targets, action plans if targets not met Equity assessment through population use measures such as PrEP-to-need ratio
	Educational outreach	Ensure patients are aware of no-cost PrEP options Outreach to clinicians and PrEP navigators regarding new coverage rules and implementation
Telehealth laboratory and clinician PrEP services Summary: National contracting for remote laboratory testing and telehealth visit provision	Change service sites	Home self-collection laboratory services Online clinician services
	Centralize technology assistance	Central website to facilitate access to telemedicine PrEP Portal for FAQ regarding telemedicine PrEP
	Alter patients’ fees	No-cost prepaid mailers for self-collection of specimens Specimens returned via prepaid mailer for standard laboratory testing at CLIA-certified laboratory
	Change records systems	Facilitate EHR transfer of results from selected laboratories to clinic records systems
	Educational outreach	Telemedicine services advertised online and at appropriate venues
	Quality monitoring	Brief surveys of patients, providers, and administrators Ongoing stakeholder interviews
	Make billing easier	Billing through national service contracts with select laboratories and provider networks
	Audit and feedback	Assessments of telehealth outcomes relative to standard care Equity assessment through population use measures such as PrEP-to-need ratio
	Facilitate data access	Standardized data collection for telemedicine PrEP to facilitate system-wide improvements, user tracking, and optimizing patient re-engagement in PrEP care after discontinuation