HRSA Highlights for AIDS 2018
One of the primary objectives of AIDS 2018 is to explore evidence-informed HIV interventions designed for key populations.
Blog updated 09/25/2023
Mental health services are psychological and psychiatric treatment and counseling services for individuals with a diagnosed mental illness. They are conducted in a group or individual setting, and provided by a mental health professional licensed or authorized within the State to render such services. Such professionals typically include psychiatrists, psychologists, and licensed clinical social workers.
Outpatient/ambulatory medical care (OAMC) includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician‘s assistant, clinical nurse specialist, nurse practitioner, or other health care professional who is certified in his or her jurisdiction to prescribe antiretroviral (ARV) therapy in an outpatient setting. These settings include clinics, medical offices, and mobile vans where clients generally do not stay overnight. Emergency room services are not considered outpatient settings.
Services include diagnostic testing, early intervention and risk assessment, preventive care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, education and counseling on health issues, well-baby care, continuing care and management of chronic conditions, and referral to and provision of specialty care (includes all medical subspecialties). Primary medical care for the treatment of HIV infection includes the provision of care that is consistent with the PHS‘s guidelines. Such care must include access to ARV and other drug therapies, including prophylaxis and treatment of opportunistic infections and combination ARV therapies.
Early Intervention Services provided by Ryan White Parts C and D programs are reported under outpatient/ambulatory medical care.
Antiretroviral treatment that results in full viral load suppression is clinically beneficial (making it possible to manage HIV as a chronic condition) and significantly reduces the risk of HIV transmission. Federal expert panels now recommend early treatment for anyone living with HIV, and though there are relatively simple regimens available, patients must adhere to them for a lifetime. Monitoring and managing treatment success is a complex task for clinicians. Finally, despite the many advances in recent years, there is still much that is not understood about the long term impact of HIV and HIV medications.
Liver disease that is tied to Hepatitis C (HCV) infection is a leading cause of death among HIV-infected individuals. Hepatitis B is also a major challenge for many people with HIV. Ryan White-funded clinics are taking on a greater role in not only managing HCV disease but also providing HCV treatments.
Case management is a service category with varied models and definitions that is designed to link clients to medical and support services. Ryan White defines medical case management (including treatment adherence) as a range of client-centered services that link clients with health care, psychosocial, and other services provided by trained professionals, including both medically credentialed and other health care staff. Medical case management is considered to be a core medical service for purposes of Ryan White funding requirements to allocate a set percentage of funds to core medical services.
This free, HRSA-supported software can be used to manage HIV/AIDS care service data and submit the RSR. In addition to tools on this page, access the CAREWare webpage on the HRSA HAB website for software downloads, version updates, quick start manuals, medication imports.
Need help ugrading to CAREWare 6? Submit a TA request.
Engagement in HIV/AIDS care falls along a continuum, from not being in care at all to being fully engaged, with interim points that reflect inconsistent and non-engagement in care. Varied interventions can enhance care engagement, including peer support, motivational interviewing, and case management. HRSA HAB through the SPNS program and other initiatives identify and evaluate innovative retention approaches, and produce replication materials for those showing the most promise. Many of these interventions focus on populations at most need, including youth, transgender women, and women and MSM of color.
One of the primary objectives of AIDS 2018 is to explore evidence-informed HIV interventions designed for key populations.
Blog updated 09/25/2023
Spreadsheet to track performance on HIV prevention program metrics. Includes: PrEP navigation, HIV tests, condom distribution, behavioral interventions.
Resource updated 09/19/2023
Resource updated 09/19/2023
Example of a PrEP and PEP Navigation Services Report.
Resource updated 12/19/2023
Timeline and key steps your program can take in the months leading up to Open Enrollment in states that use HealthCare.gov.
Resource updated 10/05/2023
Review of how a community-based organization and an FQHC successfully engaged and retained transgender women of color in HIV care.
Resource updated 05/15/2024
Explanation of how to conduct Account Tune-Ups for eligible clients in the months leading up to Open Enrollment.
Resource updated 05/22/2024
Review of the priority setting and resource allocation (PSRA) process that RWHAP Part A planning councils/planning bodies need to engage in every year.
Resource updated 01/05/2024
A core value of the Ryan White HIV/AIDS Program is engagement of people with HIV in their care and in their community's work to address the epidemic. This might include:
Need help finding HIV services? Go to our People with HIV and Community page
Planning under the Ryan White HIV/AIDS Program (RWHAP) is a multi-step process of information gathering to determine needs and subsequent decision making to devote resources to the highest needs.
Peers in HIV care are specially-trained individuals who serve on the health care team to provide patients with information, support, and assistance in navigating services. HIV peers are often living with HIV, but not always. Their qualifications and roles rest on their connection with the community they serve. Peer programs serve to recruit, train, and support peers so that they can carry out their duties.
What you need to collect for the RSR
Managing and submitting the RSR: