Tele-Harm Reduction

The purpose of this study is to test 2 different methods for offering medications that treat HIV, cure Hepatitis C Virus (HCV) (if applicable) and treat substance use disorder (if desired) to people who inject drugs.

Inclusion Criteria: * age 18 or older * able to speak English * enrolled in IDEA Miami or IDEA Tampa SSPs * injection drug use in past 12 months by self-report * willing and able to sign informed consent, provide locator information and medical records release * testing reactive for HIV by rapid test * HIV RNA\>200 copies/ml as determined by on-site labs or abstracted medical records (result within 3 months of randomization date) Exclusion Criteria: * testing HIV negative via rapid test * receipt of THR intervention in the past 6 months * inability to provide informed consent * planning to leave the area within 12 months * Principal or site investigator discretion * currently in prison or jail * Enrollment in Clinical Trials Network 121