8 Things to Know to Help Support People with HIV to Enroll in Health Coverage
Resource updated 06/27/2024
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.
Resource updated 06/27/2024
Posters on the benefits of health insurance, intended to spark conversations about enrollment.
Resource updated 09/19/2023
Hacer que los clientes participen de conversaciones sobre seguros médicos puede ser un desafío.
Resource updated 09/19/2023
Resource updated 10/05/2023
Hacer que los clientes participen de conversaciones sobre seguros médicos puede ser un desafío.
Resource updated 09/19/2023
Discussion of how ASO and CBO leaders can engage their boards when working toward organizational restructuring.
Resource updated 03/21/2024
Discussion of infrastructure development for HRSA HAB Ryan White HIV/AIDS Program-funded providers that are delivering HIV care to youth.
Resource updated 09/15/2021