The growing opioid crisis across the United States has resulted in an increase in new HIV diagnoses. For many people, receiving an HIV diagnosis is life-changing news, and a person’s circumstance can dictate how providers deliver the diagnosis as well as their approach to initiating HIV treatment, referred to as antiretroviral therapy, or ART. In this month’s episode, our hosts discuss considerations and best practices for delivering an HIV diagnosis and initiating ART; how COVID-19 has changed the way providers are able to deliver an HIV diagnosis; and how ART and ART initiation has changed over time.