State Operations Manual (Pub. 100-07), Ch. 5 § 5140
Complaints Involving HIV-Infected Individuals
5140 - Complaints Involving HIV-Infected Individuals
(Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26)
As direct recipients of Federal funds, providers and suppliers are subject to provisions of
Section 504 of the Federal Rehabilitation Act of 1973. Symptomatic and asymptomatic
individuals who are infected with the human immunodeficiency virus (HIV), or “AIDS
virus,” are protected by the Rehabilitation Act as “individuals with handicaps.”
Therefore, HIV-infected individuals who are provided services, are employed, or are to
be employed by providers and suppliers in Federally-conducted or financed programs or
activities would be treated like anyone else in the workforce, so long as these individuals
do not, on a case-by-case basis, pose a substantial health and safety risk to others, or pose
a performance problem, and are “otherwise qualified.”
A provider participating in the Medicare or Medicaid programs cannot discriminate
against individuals who are HIV-infected so long as these individuals do not, on a case-
by-case basis, pose a substantial health and safety risk to others and so long as the
provider provides comparable services and care to non HIV-infected individuals.
The SA or the CMS location refers discrimination complaints to the Office of Civil
Rights (OCR), which is the authority to determine whether Medicare or Medicaid
providers and suppliers comply with this non-discrimination statute.