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Ryan White 101. Alisha Barrett Ryan White Part A Grantee Clark County Social Service. Ryan White. - PowerPoint PPT Presentation
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Alisha Barrett
Ryan White Part A Grantee
Clark County Social Service
RYAN WHITE 101
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Ryan White
Ryan White was diagnosed with AIDS at age 13. He and his mother Jeanne White Ginder fought for his right to attend school, gaining international attention as a voice of reason about HIV/AIDS. In 1990, at the age of 18, Ryan White died, just months before Congress passed the AIDS bill that bears his name – the Ryan White CARE Act.
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An Overview
BASICS OF RYAN WHITE HIV/AIDS PROGRAM
The majority of Ryan White funds support medical care and essential support services. Ryan White funds are the payer of last resort, as required by Congress. Also, a smaller, but equally critical, portion funds technical assistance, clinical training and research on innovative models of care.
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Basics of Ryan White HIV/AIDS Program The Ryan White legislation created a number of
programs, called Parts, to meet needs for different communities and populations affected by HIV/AIDS.
Part A: provides emergency assistance to Eligible Metropolitan Areas and Transitional Grant Areas that are most severely affected by the HIV/AIDS epidemic.
Part B: provides grants , including ADAP assistance, to all 50 States and U.S. Territories.
Part C: provides primary health care in an outpatient setting for people living with HIV disease.
Part D: provides outpatient health care for women, infants, children and youth with HIV/AIDS.
Minority AIDS Initiative (MAI): provides funding to evaluate and address the disproportionate impact of HIV/AIDS on minorities.
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How does this relate to the Las Vegas area?
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Part A ProgramEligible Metropolitan Area (EMA):
2,000 new AIDS cases in the last 5 yearsPopulation of at least 50,000 persons
Transitional Grant Area (TGA):1,000 – 1,999 new AIDS cases in the last 5
yearsPopulation of at least 50,000 persons
Las Vegas
Area
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Las Vegas TGA
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History of Las Vegas Part A TGALas Vegas Part A TGA includes:
Nye County, NevadaClark County, NevadaMohave County, Arizona
Las Vegas EMA was established in 1998Reclassified from an EMA to a TGA in 2005Chief Executive Officer (CEO) is Chair of the
Clark County CommissionClark County Social Service has been
designated by CEO to manage Part A grant funds
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RYAN WHITE CARE ACT AND AFFORDABLE CARE ACT
The federal Ryan White CARE Act legislation was originally authorized by Congress in 1990. The authorization of the Affordable Care Act has altered the role of the Ryan White Program.
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ASSESSMENT
Assess service needs and gaps in state and local systems for HIV care, including special populations.
Assess capacity and training needs of the workforce to provide comprehensive system of care for People Living with HIV.
Assess Models of Care and services required to care completion.
Assess and monitor the public health impact of the HIV disease.
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POLICY Provides Federal leadership on State and
local initiatives that impact People Living with HIV.
Establish Federal HIV care and treatment policy guidelines that safeguards public health and ensures continued progress in the goal of a AIDS Free generation.
Engage State and locate entities in partnership to realize an AIDS Free generation.
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CAPACITY DEVELOPMENT Train the health care workforce to provide
high quality HIV care and treatment.
Ensure capacity of state and local systems to meet the care and treatment needs of People Living with HIV.
Support the Health Information Technology to increase quality and capacity of care.
Provide technical assistance to support the provision of evidence-based Models of Care.
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QUALITY ASSURANCE
Establish and monitor the HIV quality measures/indicators to assure high-quality care that adheres to DHHS standards of care.
Collect, analyze, evaluate and report on health outcomes of People Living with HIV to improve and advance the treatment of care.
Assure the availability of HIV care and treatment across the nation.14
ACTION STEPS Align client eligibility determination with
Marketplace enrollment periods
Reduce burden by using AGI
Collect Marketplace/Medicaid notice of eligibility determination for annual RWHAP recertifications
Be able to document process for pursuing enrollment
Establish methodology for conducting Marketplace cost-effectiveness
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Part A Federal Grant Funds
RYAN WHITE FUNDING
Part A federal grants include two parts, Formula and Supplemental.
• Formula grants are based on reported living HIV/AIDS cases as of December 31 in the most recent calendar year for which data is available from the Center for Disease Control• Supplemental grants are awarded competitively on the basis of demonstrated need and other criteria determined by the federal government
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Part A Federal Grant Funding Flow Chart
Congress passes Ryan White Legislation and
awards funding
Health Resources and Services Administration (HRSA) manages Federal Grant
Federal Grants are awarded to areas that qualify as a Part A, and
MAI17
Las Vegas TGA Part A Funding Flow Chart
HRSA awards federal grant to Las Vegas TGA’s CEO
CEO (Chair of Clark County Commission)
accepts federal grant funds
Clark County Social Service (CCSS) manages
federal grant
CCSS contracts funds with local providers
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Las Vegas TGA Part A FundingFederal grant funds include
85% Direct Services 10% Administration 5% Clinical Quality Management
Las Vegas Grant Amount Part A Grant Year 2013-2014 $4,998,237.00
Las Vegas Grant Amount MAI Grant Year 2013-2014 $341,702.00
Funding contracted to Providers 90% Direct Service 10% Administration
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Core and Support Services
RYAN WHITE PART A SERVICES
Part A funds may be used to provide a wide variety of medical and support services for people living with HIV disease. Services categories and definitions are mandated by Ryan White Legislation.20
Ryan White Part A Core ServicesThe Las Vegas TGA is required to allocate at least
75% of the award amount on Core Medical Services per legislation.
• Outpatient/Ambulatory Medical Care
• AIDS Pharmaceutical Assistance
• Oral Health Care• Early Intervention Services• Health Insurance Continuation• Medical Nutrition Therapy
• Hospice Services• Home/Comm Based Health
Services• Mental Health Services• Substance Abuse Outpatient
Care• Home Health Care• Medical Case Management
Core Services Include:
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Ryan White Part A Support Services
The Las Vegas TGA is required to allocate no more than 25% of the award amount on support services. All support services must be linked to medical outcomes per legislation.
Support Services Include:• Case Management (non-
medical)• Child Care Services• Emergency Financial
Assistance• Utilities• Housing• Food• Medication
• Food Bank/Home Delivered Meals
• Health Ed/Risk Reduction• Housing Services• Treatment Adherence
• Legal Services• Linguistics Services• Medical Transportation
Services• Outreach Services• Permanency Planning• Psychosocial Support Services• Referral: Healthcare/Supp
Service• Substance Abuse
(Residential)• Rehabilitation Services• Respite Care
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Priority Setting & Resource Allocation
GY 2013-2014
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Services Today
LAS VEGAS PART A TGA
The Las Vegas TGA provides comprehensive medical and support services to people living with HIV disease that are eligible for the Ryan White Part A Program.
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Las Vegas Part A TGA Service Providers
• Aid for AIDS of Nevada1120 Almond Tree Lane Las Vegas, NV 89104 (702) 382-2326
• AIDS Healthcare Foundation
1815 E. Lake Mead Blvd. STE113North Las Vegas, NV 89030(702) 639-81103201 S. Maryland Parkway STE 218Las Vegas, NV 89109(702) 862-8075
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• Community Counseling Center714 E. Sahara Ave #101Las Vegas, NV 89104(702) 369-8700
• Community Outreach Medical Center
1140 Almond Tree Lane, Suite 306Las Vegas, NV 89104(702) 657-3873
• Golden Rainbow801 S. Rancho Dr. Suite B-1BLas Vegas, NV 89106(702) 384-2899
March 1, 2014 – February 28, 2015
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Las Vegas Part A TGA Service Providers
• North Country Healthcare1510 Stockton Hill RoadKingman, AZ 86401(928) 718-4530
• Nye County Health & Human Services
1981 E. Calvada Blvd. North STE#120Pahrump, NV 89048(775)751-7090
• Southern Nevada Health District
Sexual Health Clinic400 Shadow Lane STE 106Las Vegas, NV 89107(702) 759-0702
• UMC Wellness Center701 Shadow Lane, Suite 200Las Vegas, NV 89106(702) 383-2691
• UNLV School of Dental Medicine
1700 W. Charleston Blvd. Bldg ALas Vegas, NV 89106(702) 774-2451
March 1, 2014 – February 28, 2015
Ryan White Program 2013 and Beyond Ryan White did not see legislative action in 2013 Appropriations/debt ceiling/sequestration taking
up much of legislative discussion and debate Committees have other priority areas that MUST
be worked on Need real information about how Affordable Care
Act (ACA) will impact Ryan White clients Ryan White’s authorization will lapse BUT program
will continue to be funded and implemented Ryan White recipient organizations continue to
teach Members of Congress and their staff on importance of Ryan White post-ACA implementation
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Las Vegas TGA Planning Council
HOW YOU CAN GET INVOLVED
Planning Councils are a legislatively mandated group. They play a key role in providing a comprehensive system of care for people living with HIV.
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Las Vegas Part A TGA Planning Council
Roles and ResponsibilitiesDevelop Operating Policies & ProceduresAssess needs of TGADevelop comprehensive planSet priorities and allocate resources to core
and support service categoriesHelp ensure coordination of services with
other HIV-related servicesAssess the administrative mechanismDevelop standards of care
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If you would like to learn more about our Planning Council please visit: www.lasvegasema.org
Las Vegas Part A TGA Planning Council
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Las Vegas Part A TGA Planning Council Upcoming Meeting
Meeting Specifics:Date: May 28, 2014Time: 10:00 am – 12:00 pmLocation: Clark County Social
Service 3rd Floor Training
Room 1600 Pinto Lane Las Vegas, NV 89106
Questions: 702-455-107131
Las Vegas Part A TGA
Questions??
Alisha BarrettGrant AdministratorLas Vegas Part A TGAp: 702-455-1071email: [email protected]
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