Pre-exposure prophylaxis, or PrEP, is a highly effective HIV prevention intervention that is dramatically underused, especially among those most at-risk. Medicaid’s role as insurance for low-income Americans – particularly since the Medicaid expansions authorized under the Affordable Care Act – makes the program a crucial vehicle for expanding access.

AcademyHealth’s Evidence-Informed State Health Policy Institute executed this one year project that sought to improve Medicaid availability and delivery of the PrEP intervention package, particularly recommended clinical monitoring and follow-up services such as STD screening and treatment. Guided by a Steering Committee of diverse stakeholders, the project focused on assessing and addressing structural, operational, financial, and knowledge barriers regarding PrEP intervention services among providers, payers, and public health leaders.



Elizabeth Cope, Ph.D., M.P.H.

Vice President, Health Systems Improvement - AcademyHealth

Elizabeth L. Cope, PhD, MPH, is Vice President of Health Systems Improvement at AcademyHealth where she overse... Read Bio


Naomi K. Seiler, J.D.

Associate Professor - George Washington University Milken Institute School of Public Health

Naomi K Seiler, J.D., is an Associate Professor in the Department of Health Policy and Management at the Georg... Read Bio