Pre-Exposure Prophylaxis (PrEP)
For Clinicians
- PrEP/PEP Voluntary Directory
- A list of PrEP/PEP prescribers who have volunteered to be included in the directory. Please see the PrEP-AP Participating Providers list (below) if you are seeking a PrEP prescriber who also participates in PrEP-AP.
- If you are a provider and want to be included in the directory, go to https://providerdirectory.aidsinstituteny.org/Register/RegisterCreate
- PrEP-AP Participating Providers (PDF)
- A list of PrEP providers that meet the criteria of the PrEP-AP program. PrEP-AP will provide reimbursement for necessary primary care services for eligible individuals being seen by enrolled providers.
- CEI Line - 800-637-2342
- Provided by the NYSDOH Clinical Education Initiative, this toll-free number is available for NYS clinicians to discuss PEP, PrEP, HIV, HCV and STD management with a specialist.
Clinical Guidance and Other Resources
New York State Department of Health AIDS Institute
- Dear Colleague letter: No Out-of-Pocket Costs for PrEP (PDF)
- Dear Colleague letter: 2022 PrEP Update (PDF)
- NYSDOH Guidelines: PrEP to Prevent HIV & Promote Sexual Health (2022)
- NYSDOH Guidelines: PrEP Pocket Guide (2022)
- NYSDOH Guidelines: Care Provider Checklists for PrEP Initiation, Regimen Choice, and Follow-Up (2022)
- Letter: Truvada Facts (2019) (PDF)
Addressing the Cost of PrEP
- Antiretroviral Medications for Pre-Exposure Prophylaxis (PrEP), Post Exposure Prophylaxis (PEP), and HIV Treatment for New York State Medicaid Members (July 2023)
- Payment Options for Adults and Adolescents for Pre-Exposure Prophylaxis (PrEP) (August 2023)
- PrEP Patient Assistance Program for Providers
- Health Insurance Coverage for Pre-exposure Prophylaxis (PrEP) for the Prevention of Human Immunodeficiency Virus (HIV) Infection & Testing and Ongoing Follow-up and Monitoring Related Thereto (October 8, 2020)
- NYS Medicaid Coverage for HIV Pre-Exposure Prophylaxis (PrEP) Related Services (2019) (PDF)
- USPSTF Final Recommendation Statement Prevention of Human Immunodeficiency Virus (HIV) Infection: Preexposure Prophylaxis (June 11, 2019)
- NYSDOH Statement on U.S. Preventive Services Task Force (USPSTF) Recommendation on HIV Screening: Grade A and Recommendation on PrEP for HIV: Grade A (PDF) (September 2020)
Coding for PrEP Reimbursement
- Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide (October 2023)
- Recommended ICD 10 - CM Codes - PrEP and PEP (2022) (PDF)
- Recommended Billing and Coding Guidance for Long-Acting PrEP (2022) (Long-Acting Resource Center)
