• Expand access to HIV testing through at-home test kits, routine testing in emergency departments, online appointments and mobile testing sites. Testing strategies also integrate STIs and viral hepatitis.
• Partner with providers, health systems, community organizations, schools, syringe service programs and other groups to improve access for HIV and STI testing.
• Screen for co-occurring conditions, including syphilis, hepatitis C and other sexually transmitted infections, in priority populations such as pregnant people and youth.
• Train health care professionals in HIV and STI testing, cultural sensitivity and other topics to promote respectful sexual health care.
• Raise awareness of HIV and sexual health care prevention and treatment options at community events, such as Pride festivals and conferences.
• Prioritize testing needs for populations such as men who have sex with men, adolescents, pregnant women and other populations as they emerge.

MDHHS, along with local health departments, community-based organizations and health systems in Michigan increase HIV testing through a variety of activities including:

• Self-testing at more than 10 locations in Michigan through federal partnerships.
• Increasing screening in emergency departments.
• Increasing testing in non-traditional settings like syringe service programs, a correctional setting and mobile units.
• Funding and training agencies to conduct HIV testing programs statewide via 211.

• Reduce barriers to care by providing innovative health care solutions, such as offering telehealth for people without transportation, and increasing the number of centers offering both HIV/STI testing and care and wraparound services.
• Destigmatize patient care experiences and reduce medical mistrust through training opportunities on topics such as cultural humility, diversity and sexual orientation for medical and service providers; and by updating documentation with non-stigmatizing language.
• Partner with providers, health systems, community organizations, pharmacists and others to improve access to antiretroviral therapy (ART), linkage-to-care and wraparound services.
• Provide resources to Ryan White agencies via multiple avenues including conferences, training opportunities and contractual language to raise awareness of emerging topics in HIV care including affirming and non-stigmatizing language, cultural humility and others.
• Use data to provide access to information to improve patient health outcomes across clinical, case management, payor pharmacy and other provider organizations.
• Address the social determinants of health through partnerships with organizations focused on housing, transportation, environment and other needs to reduce barriers for patients.

MDHHS, along with local health departments, community-based organizations and health systems in Michigan increase retention in HIV care through a variety of activities including:

• Collecting data through surveys on barriers and quality of care.
• Integrating HIV and STI care with housing and housing access.
• Providing access to medications and insurance though MIDAP.
• Conducting Data to Care in Detroit and the rest of Michigan.
• Collaborating with Medicaid.
• Promoting cultural humility with sexual orientation and gender identity and expression (SOGIE) training and policy review.
• Promoting Undetectable = Untransmittable (U=U).
• Training a workforce through a variety of learning opportunities.

• Connect patients with the providers actively prescribing PrEP in Michigan, especially in the geographies with the highest need.
• Partner with providers, health systems, community organizations, pharmacists and others to develop and improve PrEP access and uptake practices.
• Expand awareness of PrEP through trainings, conferences and community education campaigns.
• Use and improve the quality and accessibility of PrEP data to make progress toward program goals.

MDHHS, along with local health department, community-based organizations and health-systems in Michigan increase access to PrEP through a variety of activities including:

• Media campaigns to increase awareness such as "Mahogany Blue" and "MIPrEP MIChoice".
• Recruiting providers to be a part of our PrEP directory
• Funding a network of PrEP navigators.
• Linking to services via the PrEP portal.
• Academic detailing including partnerships with Henry Ford and MATEC.
• Increasing access via telePreP especially for those with Medicaid.