Strategies for AIDS Service Organizations (ASOs) and Community Based Organizations (CBOs) to respond to changes in the health care delivery and financing environment.
Collection of resources on contracting with health insurance plans and provider networks, with an emphasis on leveraging the agency's role as an Essential Community Provider (ECP). Marketplace plans must include some ECPs in their provider networks.
Resources 11
Webinars and Training
- Primary Care Development Corporation (PCDC)
- Primary Care Development Corporation (PCDC)
Learning module series on billing, for Ryan White-funded Community Based Organizations (CBOs) and AIDS Services Organization (ASOs).
- HealthHIV
Training resources on enhancing billing systems to maximize revenues, covering CPT and ICD codes in the HIV/AIDS care context.
- CRE TA Center
Tips for negotiating contracts with insurers.
- CRE TA Center, National Center for Innovation in HIV Care
Review of the basics of Medicaid contracting with a focus on Medicaid Managed Care Organizations (MCOs).
- CRE TA Center
Review of contracting opportunities (e.g., marketing when negotiating contracts) for Ryan White funded agencies that provide medical care and other services.
Tools and Job Aids
- CRE TA Center
Tips for Ryan White HIV/AIDS Program recipients and sub-recipients on ways to improve contracting and billing processes.
- CRE TA Center
Tool for conducting a cost analysis (determining the unit/average cost of a service) for purposes of billing and securing reimbursement for services provided.
- CRE TA Center
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.
- CRE TA Center
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
Reports and Best Practices
- Primary Care Development Corporation (PCDC)
Findings from an assessment to help AIDS Service Organizations (ASOs) and Community-based Organizations (CBOs) increase direct HIV care and treatment.