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Testing and Reporting (including HIV and STI Case Reporting Forms and Aphirm)


HIV Case Reporting and Data Staff

HIV Case Reporting and Data team members are part of the Surveillance and Epidemiology Section within the MDHHS Division of HIV and STI Programs. They work out of two offices (Lansing and Southfield) and are divided into both geographical and type-specific coverage specialties.

STI Case Reporting and Data Staff

The Disease Intervention Specialists (DIS) that oversee STI case reporting and data functions are part of the Field Services and STI Prevention Section within the MDHHS Division of HIV and STI Programs and are located throughout Michigan. Their responsibilities are divided by geographical coverage areas of the state.


MDHHS Forms: HIV and STI Case Reporting

HIV Adult Case Reporting (for patients = 13 years of age)

HIV Pediatric Case Reporting (for patients < 13 years of age)

STI Case Reporting

MDHHS Forms: Partner Services Referral

  • Aphirm Log-in Portal

    New Aphirm Users: Aphirm requires authorization prior to accessing the system. Please first submit an access request within SHOARS. For information about SHOARS including how to register and submit an access request, please visit: Michigan.gov/SHOARS. If there are any questions or concerns regarding this process, reach out to MDHHS-SHOARS-SUPPORT@michigan.gov.

MDHHS Forms: Verification and Notification of Results


MDHHS Form: Officer/Employee Request for HIV, Hepatitis B and/or Hepatitis C Testing of Arrestee, Correctional Facility, Inmate, Parolee or Probationer

SCAO Forms: Court-Ordered Counseling and Testing

MC-234: Court Order for Counseling and Testing for Disease/Infection Under MCL 333.5129
(State Court Administrative Office, June 2019)

This form is used by the court under MCL 333.5129 to order confidential testing and counseling for venereal disease, hepatitis B and C infection, HIV infection, acquired immunodeficiency syndrome, and acquired immunodeficiency syndrome related complex.


Aphirm

Aphirmis a cloud-based data system created by Luther Consulting that is designed to collect and house HIV prevention measures related to CDC funding opportunity announcements PS18-1802 and PS 20-2010.

These measures include HIV test events entered at the individual tester level. Data are entered at the local level by funded local health departments and community benefit organizations. Aphirm data is de-identified prior to being uploaded to CDC through Evaluation Web for reporting purposes.

New Aphirm Users: Aphirm requires authorization prior to accessing the system. Please first submit an access request within SHOARS. For information about SHOARS including how to register and submit an access request, please visit: Michigan.gov/SHOARS. If there are any questions or concerns regarding this process, reach out to MDHHS-SHOARS-SUPPORT@michigan.gov.


Testing and Reporting Guidance

Health Care Professional's Guide to Disease Reporting in Michigan: A Summary of the Michigan Communicable Disease Rules
(Michigan Department of Health and Human Services, rev. January 2021)

The public health system depends upon reports of diseases and infections to monitor the health of the community and to provide the basis for preventive action. The prompt, required reporting by physicians, laboratory scientists, infection preventionists, and other care providers of both diagnosed and suspected communicable diseases/infections allows for timely action by local and state public health personnel.

Selecting Appropriate HIV Diagnostic Tests
(Michigan Department of Health and Human Services, July 2019)

Improved HIV detection tests offer the ability to detect HIV infection earlier and identify patients in the acute phase when high levels of virus increase the likelihood of transmitting infection. The recommendations in this guide allow for earlier detection of HIV and consequently, the increased possibility of reducing transmission.

Guidelines for Testing and Reporting: Perinatal Human Immunodeficiency Virus (HIV), Hepatitis B, Hepatitis C, and Syphilis
(Michigan Department of Health and Human Services, rev. September 2021)

Physicians and other health care professionals providing medical treatment to birthing people are required, at the time of initial prenatal screening and examination, and during the third trimester, and at delivery in absence of previous testing results to test for HIV, hepatitis B, hepatitis C, and syphilis, unless the birthing person refuses to be tested or the provider deems the tests are medically inadvisable. These guidelines are for healthcare professionals working in prenatal care, labor and delivery, and emergency services. (Per section 333.5123 of Michigan's Public Health Code, Act No. 368 of the Public Acts of 1978, as amended).

Guidance for HIV Self-Testing Program Implementation and Data Reporting
(Michigan Department of Health and Human Services, rev. February 2022)

This document provides guidance on the creation of policies and procedures for program implementation and data entry for the HIV rapid self-administered over-the-counter (OTC) test (HIVST or rapid HIV self-test). This guidance is intended for use by programs funded or otherwise supported by MDHHS.

Suggested Reporting Language for the HIV Laboratory Diagnostic Testing Algorithm
(Association of Public Health Laboratories, April 2017)

To maximize public health impact, accurate, timely diagnostic HIV testing should be combined with clear result reporting and expedited linkage to medical care and services for infected people. Laboratory reports should state each test that was performed, the final assay result of each test, and the final algorithm interpretation for the specimen. The reporting language presented in this document is suggested for laboratories to use when reporting to healthcare providers and surveillance programs, but adjustments may be needed to meet individual facility or jurisdiction requirements.

False-Positive HIV Test Results Fact Sheet
(Centers for Disease Control and Prevention, May 2018)

When a person is not infected with HIV but receives a positive test result, that result is considered a false positive. False-positive test results can occur due to technical issues associated with the test or biological causes. Generally, HIV tests have high specificity, meaning that there are few false-positive results and testing correctly classifies most uninfected individuals as uninfected.

HIV Testing Guidance for Health and Life Insurance Companies Licensed in Michigan
(Michigan Department of Community Health, rev. May 2008)

This document provides information about the legal requirements that pertain to health and life insurance companies licensed in Michigan to underwrite testing for the presence of Human Immunodeficiency Virus (HIV).