Transcript Document

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

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.
The Ryan White Program

Part A
Part B
Part C
Part D
Part F
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75% of funds must go to core medical services
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Localities
(Formerly Title I)
States & Territories
(Formerly Title II)
Early Intervention
(Formerly Title III)
Pediatric/Family
(Formerly Title IV)
Special Projects of National Significance
AIDS Education & Training Centers
Minority AIDS Initiative
Dental Program
Part B Federal Grants to States

AIDS Drug Assistance Program
Funds for HIV-related medications
Virginia Department of Health
(800) 533-4148
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Regional Consortia
Provides funds for local Consortia (Medical & Support)
Southwest/Piedmont HIV Care Consortium, Roanoke
(540) 985-0131/(800) 354-3388
Part C Federal Grants
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Primary Care Grants
Comprehensive primary care for people living with HIV
Carilion Clinic, Roanoke
(540) 981-7715
Centra Health Inc, Lynchburg
(434) 947-3945
Part F
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AIDS Education & Training Centers
(AETC)
Funds to conduct education & training
for health care providers
Inova Juniper program
VCU HIV/AIDS Center
(703) 321-2672
(804) 828-2473
Southwest/Piedmont
HIV 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:
– Planning:
– Client Services:
$129,040 09.17%
$57,758 04.11%
$1,220,000 86.72%
S/PHCC, Continued
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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 Committees
Client Committee
 Case Management Committee
 Policy Committee
 Quality Improvement Committee
 SOP Committee
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S/PHCC Client Eligibility
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Eligibility Requirements of Part B
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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, Cont
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Restrictions & Special Conditions
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–
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–
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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 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, 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, Continued

Support Services
– Case management (non-medical)
– Medical transportation services
– Substance abuse services - residential
2007-2008 Year-End Data

Clients Served
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New Intakes:
Returned to Care:
Discharged:
Deceased:
Lost to Care?
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YTD 0708 0607
(606) 791 (708)
( 20 ) 109 ( 94 )
( 6 ) 41 ( 24 )
( 21 ) 34 ( 43 )
( 3 ) 19 ( 24 )
2007-2008 Subcontractors
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AAC
CCHS
CH
NRHD
PATHS
R/AHD
WPATF
YTD
( 55 )
(185)
(146)
( 24 )
( 92 )
(190)
( 36 )
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SPHCC
(606) 791 (708)
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0708
61
284
216
27
118
305
45
0607
( 69 )
(245)
(212)
( 29 )
( 77 )
(266)
( 35 )
118
61
27
45
204
336
2007-2008 WICY
WICY = Women, Infants, Children & Youth
YTD 0708
 Women: (195) 254
 ( Men )
(411) 537
 Infants:
( 0 ) 0
 Children: ( 0 ) 2
 Youth:
( 12 ) 21
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Total:
0607
(222)
(486)
( 0 )
( 1 )
( 19 )
(200) 264 (233)
Children = 13 & under Youth = 13-24
YTD 0708
(32) 32
(68) 68
(00) 0
(00) <1
(02) 3
(33)
0607
(31) %
(69) %
(00) %
(<1) %
(03) %
33 (33) %