National HIV Testing Day
Event updated 07/17/2024
Educating patients can make them better care partners and improve their engagement in their own health improvement.
Ryan White Part A funds HIV/AIDS care in metropolitan areas hardest hit by the epidemic. Medical and support services for underserved individuals are put into place through a sequence of activities. First is planning, which sets the framework for funding decisions. Next, Part A recipients (local governments) advertise for and award contracts to service agencies. Care is then delivered by funded agencies, which follow Ryan White standards that cover areas like quality of care and data reporting. Part A recipients monitor and manage grant funds to ensure services are delivered according to standards. Learn more about Part A, formula and supplementary grants, eligible services, and more.
Part F Dental Programs of HRSA's Ryan White HIV/AIDS Program (RWHAP) focus on funding oral health care for people with HIV/AIDS, supplementing the dental care provided by other Ryan White programs. The Dental Reimbursement Program (DRP) helps accredited dental or dental hygiene education programs with unreimbursed costs of oral health care delivered to people with HIV/AIDS. The Community-Based Dental Partnership Program (CBDPP) delivers HIV dental care while simultaneously training dental professionals in order to expand community capacity to deliver HIV/AIDS oral health care.
Questions? Email [email protected].
Part B of HRSA's Ryan White HIV/AIDS Program (RWHAP) funds States and Territories to deliver HIV/AIDS care, including HIV/AIDS medications under the AIDS Drug Assistance Program (ADAP). Part B addresses care needs across many cities and rural regions. Recommendations about service priorities are typically made by statewide planning groups or regional and local consortia. States then advertise and award contracts to agencies to deliver services. HRSA project officers and technical assistance/training services help Part B programs conduct planning; deliver care (with attention to quality, clinician training, and data reporting); and manage their grant funds. Learn more about Part B—formula and supplementary grants, ADAP, eligible services, and more.
Questions? Email [email protected]
Approaches to preventing new HIV infections, including pre-exposure prophylaxis (PrEP); sexually transmitted infection screening and testing; engaging people with HIV in care to achieve viral suppression in order to reduce HIV transmission; behavioral interventions; and linkages to other medical and social services (e.g., substance abuse, mental health, housing).
Quality Improvement is an organizational approach to improving quality of care and services through use of specified principles and methodologies (e.g., leadership, staff involvement, teamwork, consumer involvement, a continuing cycle of improvement activities and performance measurements).
The AIDS Education and Training Centers (AETC) Program of HRSA's Ryan White HIV/AIDS Program (RWHAP) delivers HIV/AIDS clinical training via a network of regional and national centers. AETCs train providers to counsel, diagnose, treat, and medically manage people with HIV disease, and to help prevent high-risk behaviors that lead to HIV transmission. Regional (multi-state) AETCs carry out the bulk of hands-on and distance-based learning. National AETCs support the regions and deliver cross-cutting assistance, including web-based resources, multicultural training, evaluation, and online and phone-based clinical consultation.
Questions about Part F AETC Program. Email [email protected]
Community Advisory Boards (CABs) provide clinics with input and guidance from patients regarding the design and delivery of care. To be effective, CABs follow operating procedures to guide them to carry out tasks like selecting members, convening meetings, gathering feedback, and working with clinics to improve their operations.
Tools and tips to help Ryan White HIV/AIDS Program recipients and subrecipients comply with federal requirements.
Ryan White HIV/AIDS Program resources are limited and need is severe. This heightens the responsibility of planning councils to use sound information and a rational decision-making process when deciding which services and other program categories are priorities (priority setting) and how much to fund them (resource allocation).
A Comprehensive Plan is a multi-year, long range, vision, that provides a road map for developing a comprehensive and responsive system of care over time. A Comprehensive Plan goes beyond the process that Part A and B grantees undertake to create implementation plans outlining annual spending.
Planning body procedures help ensure that a planning council and other planning groups function smoothly and in compliance with Ryan White legislative requirements. Procedures exist for membership (e.g., nominations procedures to secure new members), decision making (e.g., open meeting processes, grievance procedures related to funding decisions, conflict of interest), and other tasks.
Medical nutrition therapy including nutritional supplements is provided by a licensed registered dietitian outside of an outpatient/ambulatory medical care visit. The provision of food may be provided pursuant to a physician's recommendation and a nutritional plan developed by a licensed, registered dietician. Nutritional services and nutritional supplements not provided by a licensed, registered dietician shall be considered a support service and be reported under psychosocial support services and food bank/home delivered meals respectively. Food not provided pursuant to a physician's recommendation and a nutritional plan developed by a licensed, registered dietician should also be considered a support service and is reported under food bank/home delivered meals.
Planning for HIV/AIDS services requires attention to diverse service needs and populations. An additional set of factors adds complexity to the planning process: coordination of prevention and care services; multiple public and private payers; and the mix of services provided by multiple Ryan White Parts (programs). Integrated planning activities include care/prevention collaborative planning (e.g., preparation of an epidemiologic profile, sharing of information, joint planning) as well as periodic reviews of cross-Part activities in a given state under the Statewide Coordinated Statement of Need (SCSN).
HIV counseling and testing occurs in a wide range of contexts in the Ryan White HIV/AIDS Program. Situations as diverse as community outreach, partner testing, pregnancy, and labor and delivery call for special counseling approaches on the part of clinical staff. The technology of testing has continued to evolve with rapid tests, oral tests, and home tests. Finally, legal requirements for offering and documenting tests in a health care settings have also shifted in many states and jurisdictions.
The Ryan White program is named in honor of Ryan White. He was a young person who was infected with HIV as a child, and died before he reached adulthood. Despite new cases of HIV infection in children falling to low levels in the United States, Ryan White providers continue to be the leaders in pediatric care. Adolescents, however, make up a high proportion of new HIV cases, and are more likely to go undiagnosed.
The Part B AIDS Drug Assistance Program (ADAP) of HRSA's Ryan White HIV/AIDS Program (RWHAP) provides HIV/AIDS medications and access to insurance coverage to those who lack insurance and resources. Each State and Territory operates an ADAP program and is responsible for managing the purchase and distribution of medications. Each ADAP determines the medications to offer on their formulary (list of covered drugs). However, all formularies must meet a baseline standard, which is to cover all core classes of antiretroviral therapies. Clinical and income eligibility requirements vary across States/Territories as each ADAP sets its own criteria.
TB and HIV coinfection is very common globally. TB is less commonly seen in the United States. But it can provide a challenge in areas and communities where latent and active infection are seen. HRSA and the CDC have developed guidelines and training tools for clinicians tackling TB in the context of HIV infection.
A patient centered medical home (PCMH) is a health care setting that seeks to deliver care in a culturally and linguistically appropriate manner through a collection of strategies like registries, information technology, health information exchange, and other means. PCMH is an accreditation program that requires compliance with multiple criteria in order to be recognized as such under new health care reform and reimbursement policies.
Event updated 07/17/2024