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The Ryan White HIV/AIDS Treatment Modernization Act of 2006

The Ryan White HIV/AIDS Treatment Modernization Act of 2006. August 2008 Council of Community Services Virginia HIV/AIDS Resources & Consultation Center. The Legislation. The Ryan White Comprehensive AIDS Resource Emergency Act of 1991 Renewed in 1996 and 2000

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The Ryan White HIV/AIDS Treatment Modernization Act of 2006

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  1. The Ryan White HIV/AIDS Treatment Modernization Act of 2006 August 2008Council of Community ServicesVirginia HIV/AIDS Resources & Consultation Center

  2. The Legislation • The Ryan White Comprehensive AIDS Resource Emergency Act of 1991 Renewed in 1996 and 2000 • The Ryan White HIV/AIDS Treatment Modernization Act of 2006 Transitional legislation: expires 9/30/2010 Focus on changing needs Emphasis on medical care over support services.

  3. The 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 Centers Minority AIDS Initiative Dental Program • 75% of funds must go to core medical services

  4. Part 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

  5. Part C Federal Grants • Primary Care Grants Comprehensive primary care for people living with HIV Carilion Clinic, Roanoke (540) 981-7715 Centra Health Inc, Lynchburg (434) 947-3945

  6. Part 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

  7. Southwest/PiedmontHIV 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%

  8. S/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

  9. S/PHCC Committees • Client Committee • Case Management Committee • Policy Committee • Quality Improvement Committee • SOP Committee

  10. S/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

  11. S/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

  12. S/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

  13. S/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

  14. S/PHCC Services, Continued • Support Services • Case management (non-medical) • Medical transportation services • Substance abuse services - residential

  15. 2007-2008 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?

  16. 2007-2008 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)

  17. 2007-2008 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 & underYouth = 13-24

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