Supporting Older People with HIV

Access, Care, and Engagement Technical Assistance (ACE TA) Center

HRSA HAB's ACE TA Center produces tools and resources for a variety of audiences, including RWHAP administrators, case managers, staff, and clients.

• Medicare Coverage
  • Basics and Eligibility
  • Enrolling Clients in Medicare Coverage
  • Financial Help
• Medicaid Coverage
  • Basics and Eligibility
• Webinars

ADAP Technical Assistance (NASTAD)

• ADAP Coverage of Treatment and Services for Aging People with HIV. 2018
• Coordination with Medicare, Guide for RWHAP Part B/ADAP Programs. 2023

Administration for Community Living (ACL) Programs

• Medicare Improvements for Patients and Providers Act provides grants to states and tribes to help older adults, people with disabilities, and caregivers apply for special assistance through Medicare.
• State Health Insurance Assistance Program provides Medicare beneficiaries with information, counseling, and enrollment assistance.

Clinical Training and Online Learning

• National HIV Curriculum. Offers CME/CNE credits
  • HIV in Older Adults
• AIDS Education and Training Centers Resources. Webinars, online trainings, clinical guides, and other resources
• Nurses Health Education About LGBT Elders (HEALE) Curriculum. Howard Brown Health Center. 2012. Curriculum for nurses teaching cultural competency in the care of LGBT older adults.

Conference Presentations

• HIV/Aging Institute 101: Understanding the Medical Conditions and Psychosocial Needs of Older Adults with HIV. Who Are Aging in the Ryan White HIV/AIDS Program. 2022 NRWC. 
• Managing Aging and HIV. 2021 RWHAP Clinical Conference
• Managing Comorbidities in Older Adults with HIV Infection. 2020 RWHAP Clinical Conference.
• Caring for Older People with HIV: Moving Beyond Viral Suppression to Promote Healthy Aging. 2022 NRWC. 
• Understanding the Medical Conditions and Psychosocial Needs of People Aging with HIV. 2022 NRWC. 

Conference Presentations

• HIV/Aging Institute 301: Accessing Community Resources for People Aging with HIV

Administration for Community Living (ACL) Services and Resources

• Administration for Community Living (ACL): HIV/AIDS Resources
• Connecting People to Services
  • Aging and Disability Resource Centers Program/No Wrong Door System is a collaborative effort with ACL, the Centers for Medicare & Medicaid Services, and the Veterans Health Administration to support state efforts in streamlining access to long-term services and support options for older adults and people with disabilities
  • Centers for Independent Living (CILs) – CILs are community-based non-profit organizations that are consumer controlled. Although specific programs and services vary from center to center, all CILs provide information about, and referral to, services and supports available in the local community. 
  • Eldercare Locator is a nationwide service that connects older adults and their caregivers with trustworthy local support resources, including meals, home care or transportation, or a caregiver needing training, education or a well-deserved break from caregiving responsibilities.

Best Practice Summaries

• CQII Eliminating Disparities Due to Age - Core Interventions. Summaries of 15 different interventions related to addressing age-related disparities in viral suppression rates. CQII and IHI. 2020.
• Strategies to Improve the Health of Older Adults Living with HIV. National Center for Innovation in Health Care. 2016.
  Report outlines steps RWHAP clinics should take to support their older clients.
• Aging and Disability Evidence-Based Programs and Practices (ADEPP), Administration for Community Living

RWHAP Conference Presentations

• HIV/Aging Institute 201: Integrating Geriatric Services into the RWHAP Clinic. HRSA. 2022 NRWC.
• Incorporation of Nested Multidisciplinary Clinics into an HIV Primary Care Clinic for Emerging Co-morbidities. LSU Health Sciences Center New Orleans. 2022 NRWC.
• Building Equity for Older Adults. New York-Presbyterian. 2022 NRWC.
• The New York HIV and Aging Service Directive: A New Model Developed by Aging People with HIV. NYC Department of Health and Mental Hygiene. 2022 NRWC.
  
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Innovation Pipeline: RWHAP Special Projects of National Significance

• Emerging Strategies to Improve Health Outcomes for People Aging with HIV (Aging with HIV Initiative)
  This ongoing project will support and evaluate groundbreaking interventions that seek to improve the well-being of people with HIV ages 50 and older served by the RWHAP

Data

• Fact Sheet: Older Adults: Ryan White HIV/AIDS Program, 2022 (PDF)
• Slide Deck: Older Adults Served by RWHAP, 2021 (PPTX) (PDF)
• Report: 2021 Ryan White HIV/AIDS Program (RWHAP) Annual Client-Level Data Report (PDF)
• Ryan White HIV/AIDS Program Compass Dashboard. Interactive tool includes a dashboard view focusing on clients aged 50 and older.

Reference Guides and Reports

• Optimizing HIV Care for People Aging with HIV: Incorporating New Elements of Care, Reference Guide for Aging with HIV (PDF)
• Addressing the Health Care and Social Support Needs of People Aging with HIV: Technical Expert Panel Executive Summary (PDF)

Policy Notices

• 13-01 Clarifications Regarding Medicaid-Eligible Clients and Coverage of Services by Ryan White HIV/AIDS Program (PDF)
• 18-01 Clarifications Regarding the use of Ryan White HIV/AIDS Program Funds for Health Care Coverage Premium and Cost Sharing Assistance (PDF)

Poster

• Cohen S, Matosky M, Mills R, Redwood RC, Cheever L. Projected Growth and Needs of Aging People Living with HIV in HRSA’s Ryan White HIV/AIDS Program (PDF). Abstract Number 1065. Poster presented at Conference on Retroviruses and Opportunistic Infections, 2019.

HRSA's Ryan White HIV/AIDS Program

The HRSA HIV/AIDS Bureau's Working Group on Aging is the lead curator for this resource collection.

RWHAP Technical Assistance Providers

• The ACE TA Center assists Ryan White HIV/AIDS Program recipients with insurance-related issues, including Medicaid and Medicare. 
• The AIDS Education and Training Center Program provides training and capacity-building assistance to HIV care teams.  

Administration for Community Living

The Administration for Community Living is a robust Federal program whose mission is to maximize the independence, well-being, and health of older adults, people with disabilities across the lifespan, and their families and caregivers. 

Key ACL Programs

• Eldercare Locator is a nationwide service that connects older adults and their caregivers with trustworthy local support resources, including meals, home care or transportation, or a caregiver needing training, education or a well-deserved break from caregiving responsibilities.
• Area Agencies on Aging coordinate and offer services that help older adults remain in their homes - if that is their preference - aided by services such as Meals-on-Wheels, homemaker assistance, and whatever else it may take to make independent living a viable option.
• State Health Insurance Assistance Program provides Medicare beneficiaries with information, counseling, and enrollment assistance.
• Aging and Disability Resource Centers Program/No Wrong Door System supports support state efforts in streamlining access to long-term services and support options for older adults and people with disabilities.
• Long Term Care Ombudsman this program advocates for residents of nursing homes, assisted living facilities, board and care homes, and similar adult care homes.