the ryan white hiv/aids treatment modernization act of 2006 august 2008 council of community...
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The Ryan White The Ryan White HIV/AIDS Treatment HIV/AIDS Treatment Modernization Act of 2006Modernization Act of 2006
August 2008Council of Community ServicesVirginia HIV/AIDS Resources & Consultation Center
The LegislationThe Legislation
The Ryan White Comprehensive AIDS Resource Emergency Act of 1991Renewed in 1996 and 2000
The Ryan White HIV/AIDS Treatment Modernization Act of 2006Transitional legislation: expires 9/30/2010Focus on changing needsEmphasis on medical care over support services.
The Ryan White ProgramThe Ryan White Program Part A Localities (Formerly Title I) Part B States & Territories (Formerly Title II) Part C Early Intervention (Formerly Title III) Part D Pediatric/Family (Formerly Title IV) Part F Special Projects of National Significance
AIDS Education & Training CentersMinority AIDS InitiativeDental Program
75% of funds must go to core medical services
Part B Federal Grants to StatesPart B Federal Grants to States
AIDS Drug Assistance Program Funds for HIV-related medications
Virginia Department of Health
(800) 533-4148
Regional Consortia Provides funds for local Consortia (Medical & Support)
Southwest/Piedmont HIV Care Consortium, Roanoke
(540) 985-0131/(800) 354-3388
Part C Federal GrantsPart C Federal Grants
Primary Care GrantsComprehensive primary care for people living with HIV
Carilion Clinic, Roanoke (540) 981-7715
Centra Health Inc, Lynchburg (434) 947-3945
Part FPart F
AIDS Education & Training Centers (AETC)
Funds to conduct education & training for health care providers
Inova Juniper program (703) 321-2672
VCU HIV/AIDS Center (804) 828-2473
Southwest/PiedmontSouthwest/PiedmontHIV Care ConsortiumHIV Care Consortium Founded in 1991 to respond to a request
for proposals from the Virginia Department of Health
Operational year: April 1 - March 31 Current budget: $1,406,798
– Administration: $129,040 09.17%– Planning: $57,758 04.11%– Client Services: $1,220,000 86.72%
S/PHCC, ContinuedS/PHCC, Continued
Is made up of– Lead Agency ( VDH Contractor)– Subcontractors– Organizations interested in the care of
HIV disease– Individuals infected and/or affected by
HIV disease
S/PHCC CommitteesS/PHCC Committees
Client CommitteeCase Management CommitteePolicy CommitteeQuality Improvement CommitteeSOP Committee
S/PHCC Client EligibilityS/PHCC Client Eligibility
Eligibility Requirements of Part B– HIV infected or affected person– Low income (VA: 300% of Federal poverty)– Service not covered by health insurance or– Service has cost sharing component (co-pay).– Payee of last resort– ADAP Medications for co-pays only
S/PHCC Client Eligibility, ContS/PHCC Client Eligibility, Cont
Restrictions & Special Conditions– Part B services must be HIV-related– V.A. & Medicare Part D exempt from payee of last resort– Ambulatory/Outpatient services only– Incarcerated clients not eligible– Outreach services are case finding activities– Part B income levels vary by state (125% - 510% FPL)– Routine Doctor visits must include a prevention
message– Women, Infants, Children & Youth (WICY) are a priority– Billing must be completed by May 30 of each year
– Emergency Room visits not covered
S/PHCC Client ServicesS/PHCC Client Services
Provided by 7 local subcontractors– Appalachian Assistance Coalition– Carilion Clinic– Centra Health– New River Health District– Roanoke/Alleghany Health Districts– Piedmont Access To Health Services–West Piedmont AIDS Task Force
S/PHCC Services, ContinuedS/PHCC Services, Continued
Core Services– Outpatient /Ambulatory health services – AIDS pharmaceutical assistance – Oral health care –Mental health services –Medical case management – Substance abuse services, outpatient
S/PHCC Services, ContinuedS/PHCC Services, Continued
Support Services– Case management (non-medical) –Medical transportation services – Substance abuse services - residential
2007-2008 Year-End Data2007-2008 Year-End Data
YTD 0708 0607 Clients Served (606) 791 (708)
New Intakes: ( 20 ) 109 ( 94 ) Returned to Care: ( 6 ) 41 ( 24 ) Discharged: ( 21 ) 34 ( 43 ) Deceased: ( 3 ) 19 ( 24 ) Lost to Care?
2007-2008 Subcontractors2007-2008 Subcontractors
YTD 0708 0607 AAC ( 55 ) 61 ( 69 ) CCHS (185) 284 (245) CH (146) 216 (212) NRHD ( 24 ) 27 ( 29 ) PATHS ( 92 ) 118 ( 77 ) R/AHD (190) 305 (266) WPATF( 36 ) 45 ( 35 )
SPHCC(606) 791 (708)
2007-2008 WICY2007-2008 WICY
WICY = Women, Infants, Children & Youth YTD 0708 0607 YTD 0708 0607
Women: (195) 254 (222) (32) 32 (31) % ( Men ) (411) 537 (486) (68) 68 (69) % Infants: ( 0 ) 0 ( 0 ) (00) 0 (00) % Children: ( 0 ) 2 ( 1 ) (00) <1 (<1) % Youth: ( 12 ) 21 ( 19 ) (02) 3 (03) % Total: (200) 264 (233) (33) 33 (33) %Children = 13 & under Youth = 13-24