AbstractBackgroundThe advent of antiretroviral therapy (ART) has led to improved life expectancy of people living with HIV (PLWH) that is nearing that of populations living without HIV. In the United States, 51% of PLWH are 50 years or older and have unique pathophysiology contributing to accelerated and accentuated aging when compared to older adults living without HIV. Cognitive impairment (CI) is a significant age‐related risk and is exacerbated by HIV. Currently, geriatric cognitive screening tools are not calibrated for older PLWH, and have not been effectively translated for use within AIDS Service Organization (ASOs) where older PLWH often seek HIV‐related care and supportive services. In partnership with the Colorado Health Network Inc., this study examined feasibility for use of cognitive screening tools by medical case managers (MCM) working with clients aging with HIV at Colorado‐based ASOs.MethodMCMs were recruited from 11 Colorado‐based ASOs. MCMs completed an anonymous, self‐administered questionnaire measuring baseline knowledge related to risks of CI in older PLWH, and evaluated their familiarity with, screening of, and response to signs of CI within this client population. The questionnaire also evaluated perceived limitations and barriers to use of cognitive screening tools within MCM workflow.ResultData was collected from 28 MCMs who confirmed barriers and limitation to use of cognitive screening tools. While MCMs reported, on average, 50% of their clients were 50+, 71.4% of respondents reported not receiving training on complications related to aging with HIV, signs and symptoms, or on warning signs and risk factors (WS/RF) of CI. All (100%) respondents reported not screening for CI. MCMs indicated important elements of cognitive screening questions, including ease of administration, clear instructions, and information on referral. Table 1 provides a list of warning signs and Table 2 provides a list of screening questions.ConclusionMCMs working with older PLWH identified a need and desire for use and implementation of cognitive screening tools within their workflow. Training MCM on WS/RF, signs, and symptoms of CI, and implementing cognitive screening tools and referral systems will lead to improved continuity of care provided by medical case managers, and ASOs, serving older PLWH.