 This study will uniquely benefit from an existing data sharing agreement with the Johns Hopkins HIV Clinical Cohort JHHCC study, which will allow highly accurate and timely ascertainment of care utilization endpoints ART prescription and pharmacy fill dates will be collected from this database to verify participant-reported dates of ART initiation. Appointment data are electronically managed through the Moore Clinic Registration System Epic Enterprise Scheduling Software, Madison, WI. All ambulatory visits scheduled are input into this system at the point of service or through incoming calls by staff trained in the use of this database. When a patient registers on the day of the appointment, the visit is keyed as a completed visit. JHHCC data are available for download within approximately two weeks of being entered into the system. Importantly, assessing clinic attendance and prescription of ART using this external database will allow assessment of the main endpoints for all randomized participants even if some are not retained in this study. 