Assessing Plans for RWHAP Clients & ADAP
Resources for Ryan White programs in assessing Qualified Health Plans (QHPs) in relation to the needs of people living with HIV/AIDS.
Webinars and Training
Overview of anticipated changes to the individual market (both on and off Marketplace) for the 2018 plan year and the potential impact on ADAPs.
Discussion of premium tax credit reconciliation and exemptions from shared responsibility payments (i.e., the individual mandate), with recommended best practices for programs.
Overview of Part B/ADAP eligibility, enrollment, and recertification practices.
Webinar on ADAPs and purchasing of health coverage for eligible individuals, including cost considerations.
Overview of ADAPs ability to purchase/continue insurance.
Tools and Job Aids
The AIDS Drug Assistance Program (ADAP) Insurance Cost-Effectiveness Tool and accompanying user guide for the Affordable Care Act (ACA) 2018 open enrollment period is designed to assist ADAPs in assessing the relative cost-effectiveness of insurance plans.
NASTADAugust 2015ACA federal tax filing requirements for premium tax credit reconciliation and exemptions from the penalty for not having insurance coverage, with discussion of how these provisions may interact with HIV/AIDS and viral hepatitis programs.
Tools to assess case management coverage offered by qualified health plans (QHPs), traditional Medicaid, and the Ryan White HV/AIDS Program.
NASTADOctober 2013Questions and considerations for Ryan White grantees to use in determining which Marketplace insurance plans provide adequate and affordable coverage for HIV/AIDS care.
Center for Health Law and Policy Innovation of Harvard Law School and the Treatment Access Expansion ProjectSeptember 2013
Tool for use in assessing various Marketplace Qualified Health Plans (QHPs) to determine the best coverage options.
Reports and Best Practices
Robust set of resources for Ryan White HIV/AIDS Program Part B programs and ADAPs to assist in their benefits management work.
NASTADOctober 2013Review of state proposals to expand ACA coverage by purchasing insurance coverage to those up to 138% of the federal poverty level instead of expanding Medicaid eligibility.
NASTADJuly 2013How EHB rules apply to insurance plans for services particularly important to people living with HIV/AIDS and viral hepatitis.
Overview of Affordable Care Act premium tax credits and cost-sharing subsidies and how they may interact with AIDS Drug Assistance Program (ADAP) insurance assistance programs.