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CDC, HUD, and HRSA April 12 Dear Colleague Letter on HIV outbreaks among people experiencing homelessness and housing instability:News Article updated on 04/13/2023
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Metro Area Websites Focus on Ending the HIV Epidemic
Various cities have prepared Ending the HIV Epidemic (EHE) media campaigns in order to consolidate information about their work to enhance HIV prevention and care.News Article updated on 05/03/2023 -
Help Medicaid Clients Stay Covered and Avoid Gaps in Care
Steps to help clients and other individuals living with HIV avoid gaps in coverage and care during the post-COVID-19 Medicaid unwinding period.Blog updated 05/11/2023
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Telehealth Implementation at a Midwest HIV Clinic
The University of Nebraska Medical Center/Nebraska Medicine (UNMC/NM) Specialty Care Center (SCC) is the largest provider of comprehensive HIV care—including primary and HIV-focused medical services as well as multiple support services—in Nebraska. In March 2020, at the onset of the COVID-19 pandemic, the clinic integrated telehealth into its care delivery model to continue serving patients beyond the clinic structure, and developed algorithms that allowed any team member to quickly identify a patient's eligibility for a telehealth visit. The algorithms include the date of the most recent office visit, stability of HIV disease, most recent viral load and CD4 count, and antiretroviral therapy (ART) refill histories as a proxy for medication adherence. Overall, viral suppression rates remained high for all patients regardless of visit type, indicating that telehealth is a successful alternative to in-person visits for providing HIV care.Resource from the RWHAP Best Practices Compilation updated on 03/23/2024
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Use of RWHAP Funds for Health Care Coverage Costs
Overview of RWHAP payment for clients’ health care coverage costs (insurance assistance).Resource updated 09/19/2023
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Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
The RWHAP Part F SPNS program funded the Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations initiative from 2012–2017, to provide coordinated housing supports and HIV, behavioral and mental health care to people experiencing homelessness. Nine funded demonstration sites created partnerships with housing providers, integrated behavioral health and HIV care, and provided intensive patient navigator services. A multi-demonstration site evaluation found that, compared to baseline, participants were more likely to be virally suppressed after 12 months in the intervention.Resource from the RWHAP Best Practices Compilation updated on 11/13/2023
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SPNS Initiative: Accelerating Implementation of Long-Acting Injectables (2022-2026)
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Pursue Status Neutral Approach: Program Letter
Program letter encourages public health partners and grant recipients to implement status neutral approaches to HIV care and prevention.News Article updated on 01/18/2023 -
Ryan White Conference Database Expands
A searchable database is now available to access slides and videos from HRSA Ryan White Conferences stretching back to 2020.Blog updated 03/28/2024
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Low-Income Special Enrollment Period: It's Available Year-Round
An important Special Enrollment Period (SEP), sometimes referred to as “the Low Income SEP” is available to eligible low-income people for plan years 2022 - 2025.News Article updated on 01/26/2023 -
Postpartum Retention and Engagement Quality Improvement Initiative
The University of Mississippi Medical Center implemented a Postpartum Retention and Engagement Quality Improvement Initiative in 2017 to improve linkage to care, retention in care, and viral suppression among postpartum women with HIV. This intervention uses a combination of care coordination, printed materials, case management services, and improved collaboration and coordination between the Adult Special Care Clinic, which provides comprehensive HIV medical care, and a Perinatal HIV Program. The comprehensive intervention significantly improved retention in HIV care and increased viral suppression at both six and 12 months postpartum.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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Tax Filings and Health Coverage: The Relationship
Taxes and health coverage are connected in two important ways: providing proof of health coverage when required; reconciling under- or over-paid premium tax credits.Blog updated 02/28/2023
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Part D WICY Basic Training Program Resources
Resources about the requirements and expectations of implementing a RWHAP Part D program.Resource updated 04/17/2024
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RWHAP Part D: Introduction to the Part D Basic Training Program
Training and education on programmatic and legislative requirements for new and continuing RWHAP Part D program recipients.Resource (Conference Presentation) updated 09/14/2023
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Division of Community HIV/AIDS Programs: RWC 2022 Business Day Meeting
HRSA's HIV/AIDS Bureau's Division of Community HIV/AIDS Programs (DCHAP) held a session for recipients.
Resource (Conference Presentation) updated 09/14/2023
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Simplifying Salvage Antiretroviral Regimens in Treatment-Experienced PLWH
In a single-center restrospective cohort study, patients with extensive treatment experience and history of virologic failure and multi-drug resistance underwent simplification of ARV salvage regimens with a median pill burden reduction of six pills per day. This strategy led to high rates of virologic suppression.
Resource (Conference Presentation) updated 09/14/2023
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HIV Clinic Staff and Community Perspectives on Long-Acting Injectable ART in New York City
The first long-acting injectable antiretroviral therapy (LAI ART) formulation was FDA-approved January 2021. Drawing on the Consolidated Framework on Implementation Research, this mixed methods study assessed knowledge, attitudes, practices, and perceived barriers and facilitators related to implementation of LAI ART in NYC among HIV clinic staff and people with HIV.
Resource (Conference Presentation) updated 09/14/2023
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Multilevel Facilitators and Barriers to Cervical Cancer Screening in Women Living with HIV: A Qualitative Study
Overview of barriers and facilitators to Pap test utilization for women with HIV who receive RWHAP Part D services. Using the Socio-Ecological Model, the individual, interpersonal, community, and healthcare system level barriers and facilitators are explored.
Resource (Conference Presentation) updated 09/14/2023
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The Max Clinic: A multi-agency collaborative approach to addressing the complex health and social needs of people living with HIV in Tacoma, WA.
Max Clinic's multi-agency partnership to address the complex medical and social needs of people with HIV by utilizing a multidisciplinary approach involving case management, field work, and comprehensive medical services to reach people with HIV who are not currently engaged in HIV care.
Resource (Conference Presentation) updated 09/14/2023
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Assessing Medication Access Barriers in Patients Living with HIV
Virginia quality improvement program that identifies access to medication barriers and provides emergency medication supplies to people with HIV if no timely access is secured.
Resource (Conference Presentation) updated 09/14/2023