Current through September 24, 2024
A. All providers
must provide and document that all people receiving substance use disorder
treatment services receive a risk assessment for HIV at the time of intake. For
people determined to be high risk by the HIV assessment, testing options are
determined by level of care and must be provided as follows:
1. Outpatient Services: People must be
offered on-site HIV Rapid Testing by the organization or informed of available
HIV testing resources available within the community.
2. Primary Residential Services: People must
be offered and encouraged to participate in on-site HIV Rapid Testing. If HIV
Rapid Testing is not immediately available, then testing must be offered using
other methodology on-site or the person must be transported to a testing
location in the community only until such time as a Rapid Testing Program can
be implemented.
3. Transitional
Residential and Recovery Support Services: People must be offered and
encouraged to participate in on-site HIV Rapid Testing unless the service can
provide documentation that the person received the risk assessment and was
offered testing within the last six (6) months. If testing was refused, the
agency provider should encourage further testing. If HIV Rapid Testing is not
immediately available, then testing must be offered using other methodology on
site or the person must be transported to a testing location in the community
only until such time as a Rapid Testing Program can be implemented.
B. All service locations must have
and follow written policies and procedures for ensuring maximum participation
from people in HIV testing to include:
1.
Standardized procedures for conducting an HIV Risk Assessment.
2. Utilization of an "opt-out" methodology
for documenting people who decline to be tested.
3. Standardized protocol for explaining the
benefits of testing.
C.
All services offering HIV Early Intervention Testing should provide at a
minimum:
1. A minimum of thirty (30) minutes
up to one (1) hour of pre-test counseling which must include a risk assessment
if one has not been previously conducted.
2. Offer appropriate post-test counseling as
needed. If preliminary testing is reactive (positive) then a minimum of sixty
(60) minutes of post-test counseling is required.
3. All services providing on-site testing
must have the following:
(a) A Clinical
Laboratory Improvements Amendments (CLIA) Waiver;
(b) Relevant employee training;
(c) A written protocol for HIV testing;
and,
(d) Agreements with the MS
State Department of Health or other relevant agency providers to obtain HIV
test kits, where applicable.
D. Services providing on-site testing must
have policies and procedures that include but are not limited to:
1. Standardized procedures for conducting an
HIV test and delivering results;
2.
Standardized procedures for obtaining a confirmatory test in the case of a
reactive "preliminary positive" test result;
3. Documentation and standardized procedures
for providing linkage to care; and,
4. Quality control procedures to include:
(a) Proper storage of HIV test kits and
controls; and,
(b) Documentation of
when and how often controls are run to verify test accuracy.
E. All Primary and
Transitional Residential providers must document that all people received a
risk assessment for TB at the time of intake. Any person determined to be at
high risk cannot be admitted into a treatment service until testing confirms
the person does not have TB.
Section
41-4-7
of the Mississippi Code, 1972, as Amended
