Medical Case Management Protocol
Introduction: Maricopa Integrated Health System (MIHS) is the Ryan White Part D grantee for Maricopa County. Effective August 13, 2012 MIHS will be offering a medical case management service at the McDowell Healthcare Center for eligible women and youth. MIHS plans to contract with Area Agency on Aging, Region I, Care Direction to provide medical case management services to the patients who receive care at the clinic. For more information on Roles and Responsibilities of Medical Case Manager Medical Case Management Protocol Attachment
In September 2008, the HIV consent law in Arizona was revised to make it easier for HIV testing to become a routine part of healthcare. The new law contained in Arizona Revised Statute (ARS) 36-663 significantly streamlines the HIV testing by removing the following previous requirements:
1. A written consent form
2. Formal pre or post-test counseling 3. Specific documentation of oral consent for HIV testing According to the new law health care providers must ensure the following:
- Patients should be presented with oral or written information that explains HIV infection and the meaning of a positive test.
- Patients must also be given the opportunity to decline testing.
Written information can be locally created or adapted from other local or national HIV education resources. MIHS has developed the following pamphlet to be used as written consent information. (Link to pamphlet) In addition, an information pamphlet is available to educate and guide providers regarding the revised HIV testing process (Link to pamphlet) The statute language for HIV testing is provided below.
Except as otherwise specifically authorized or required by this state or by federal law, before an HIV-related test is ordered by a health care provider, the health care provider shall ensure that oral or written informed consent information is provided to the subject of the test who has capacity to consent or, if the subject lacks capacity to consent, of a person authorized pursuant to law to consent to health care for that person. For the purposes of this subsection, "informed consent information" means information that explains HIV infection and the meaning of a positive test result and that indicates that the patient may ask questions and decline testing. http://www.azleg.state.az.us/ars/36/00663.htm
Questions related to HIV testing and the new law should be referred to the Arizona AIDS Education and Training Center. Phone (520) 626-2696, Carol Galper, Principal Investigator (email@example.com)