Presentation on theme: "Alisha Barrett Ryan White Part A Grantee Clark County Social Service"— Presentation transcript:
1 Alisha Barrett Ryan White Part A Grantee Clark County Social Service
2 Ryan WhiteRyan 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.
3 Basics of Ryan White hiv/aids Program An OverviewThe 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.
4 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.
6 Part A Program Eligible Metropolitan Area (EMA): 2,000 new AIDS cases in the last 5 yearsPopulation of at least 50,000 personsTransitional Grant Area (TGA):1,000 – 1,999 new AIDS cases in the last 5 yearsLas Vegas Area
8 History of Las Vegas Part A TGA Las Vegas Part A TGA includes:Nye County, NevadaClark County, NevadaMohave County, ArizonaLas 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
9 Ryan White CARE Act and Affordable Care Act The federal Ryan White CARE Act legislation was originally authorized by Congress in The authorization of the Affordable Care Act has altered the role of the Ryan White Program.
11 ASSESSMENTAssess 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.
12 POLICYProvides 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.
13 CAPACITY DEVELOPMENTTrain 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.
14 QUALITY ASSURANCEEstablish 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.
15 ACTION STEPSAlign client eligibility determination with Marketplace enrollment periodsReduce burden by using AGICollect Marketplace/Medicaid notice of eligibility determination for annual RWHAP recertificationsBe able to document process for pursuing enrollmentEstablish methodology for conducting Marketplace cost-effectiveness
16 Part A Federal Grant Funds Ryan White FundingPart A Federal Grant FundsPart 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 ControlSupplemental grants are awarded competitively on the basis of demonstrated need and other criteria determined by the federal government
17 Part A Federal Grant Funding Flow Chart Congress passes Ryan White Legislation and awards fundingHealth Resources and Services Administration (HRSA) manages Federal GrantFederal Grants are awarded to areas that qualify as a Part A, and MAI
18 Las Vegas TGA Part A Funding Flow Chart HRSA awards federal grant to Las Vegas TGA’s CEOCEO (Chair of Clark County Commission) accepts federal grant fundsClark County Social Service (CCSS) manages federal grantCCSS contracts funds with local providers
19 Las Vegas TGA Part A Funding Federal grant funds include85% Direct Services10% Administration5% Clinical Quality ManagementLas Vegas Grant Amount Part AGrant Year $4,998,237.00Las Vegas Grant Amount MAIGrant Year $341,702.00Funding contracted to Providers90% Direct Service
20 Ryan white part A services Core and Support ServicesPart 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.
21 Ryan White Part A Core Services The Las Vegas TGA is required to allocate at least 75% of the award amount on Core Medical Services per legislation.Outpatient/Ambulatory Medical CareAIDS Pharmaceutical AssistanceOral Health CareEarly Intervention ServicesHealth Insurance ContinuationMedical Nutrition TherapyHospice ServicesHome/Comm Based Health ServicesMental Health ServicesSubstance Abuse Outpatient CareHome Health CareMedical Case ManagementCore Services Include:
22 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 ServicesEmergency Financial AssistanceUtilitiesHousingFoodMedicationFood Bank/Home Delivered MealsHealth Ed/Risk ReductionHousing ServicesTreatment AdherenceLegal ServicesLinguistics ServicesMedical Transportation ServicesOutreach ServicesPermanency PlanningPsychosocial Support ServicesReferral: Healthcare/Supp ServiceSubstance Abuse (Residential)Rehabilitation ServicesRespite Care
24 Las Vegas Part A TGAServices TodayThe 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.
25 Las Vegas Part A TGA Service Providers March 1, 2014 – February 28, 2015Aid for AIDS of Nevada1120 Almond Tree LaneLas Vegas, NV 89104(702)AIDS Healthcare Foundation1815 E. Lake Mead Blvd. STE113North Las Vegas, NV 89030(702)3201 S. Maryland Parkway STE 218Las Vegas, NV 89109(702)Community Counseling Center714 E. Sahara Ave #101Las Vegas, NV 89104(702)Community Outreach Medical Center1140 Almond Tree Lane, Suite 306(702)Golden Rainbow801 S. Rancho Dr. Suite B-1BLas Vegas, NV 89106(702)
26 Las Vegas Part A TGA Service Providers March 1, 2014 – February 28, 2015North Country Healthcare1510 Stockton Hill RoadKingman, AZ 86401(928)Nye County Health & Human Services1981 E. Calvada Blvd. North STE#120Pahrump, NV 89048(775)Southern Nevada Health DistrictSexual Health Clinic400 Shadow Lane STE 106Las Vegas, NV 89107(702)UMC Wellness Center701 Shadow Lane, Suite 200Las Vegas, NV 89106(702)UNLV School of Dental Medicine1700 W. Charleston Blvd. Bldg A(702)
27 Ryan White Program 2013 and Beyond Ryan White did not see legislative action in 2013Appropriations/debt ceiling/sequestration taking up much of legislative discussion and debateCommittees have other priority areas that MUST be worked onNeed real information about how Affordable Care Act (ACA) will impact Ryan White clientsRyan White’s authorization will lapse BUT program will continue to be funded and implementedRyan White recipient organizations continue to teach Members of Congress and their staff on importance of Ryan White post-ACA implementation
28 How you can get involved Las Vegas TGA Planning CouncilPlanning Councils are a legislatively mandated group. They play a key role in providing a comprehensive system of care for people living with HIV.
29 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
30 Las Vegas Part A TGA Planning Council If you would like to learn more about our Planning Council please visit:
31 Las Vegas Part A TGA Planning Council Upcoming Meeting Meeting Specifics:Date: May 28, 2014Time: 10:00 am – 12:00 pmLocation: Clark County Social Service3rd Floor Training Room1600 Pinto LaneLas Vegas, NV 89106Questions:
32 Questions?? Las Vegas Part A TGA Alisha Barrett Grant Administrator