DCHAP Stakeholders Conference Call September 13, 2013 Polly Ross, MD Division Director Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Division of Community HIV/AIDS Programs
TODAY S TOPICS Notice of Grant Awards MAI HHS Indicators Affordable Care Act
HIV/AIDS Bureau Laura W. Cheever, MD, ScM Associate Administrator Sylvia Trent Adams, PhD, MS, RN Deputy Associate Administrator
Division of Community HIV/AIDS Programs Polly E. Ross, MD Director Lynn R. Wegman, Deputy Director
HIV/AIDS Bureau, Division of Community HIV/AIDS Programs Polly E. Ross, MD, Division Director Lynn R. Wegman, Deputy Director Anna Huang, MD, Chief Medical Officer 5600 Fishers Lane Room 9-74 Rockville, MD 20857 301-443-0493 FAX 443-1839,1884 John Fanning, Senior Policy Advisor Menina Reyes Administrative Associate David Pitman Staff Assistant NORTHEASTERN BRANCH Carrie Jeffries Branch Chief CENTRAL BRANCH Hanna Endale Branch Chief SOUTHERN BRANCH Mahyar Mofidi, DMD Branch Chief WESTERN BRANCH Stephanie Yun Branch Chief PUBLIC HEALTH ANALYSTS Daniel Baker Stephanie Bogan Alex Calvo Kimberly Hudgens Elijah Martin Renata Thompson Cecilia Yin PUBLIC HEALTH ANALYSTS Ralph S. Brisueño Emily Chew Wendy Cousino Mindy Golatt Karen Gooden Elizabeth Goodger Deborah Willis-Fillinger PUBLIC HEALTH ANALYSTS Gettie Audain Tessa Brown Wanda Chestnut Tracey Gantt Viven Walker-Marable Kendra Williams Gail Williams Glasser PUBLIC HEALTH ANALYSTS Kevin Bates Carmen Brown Monica Farmer Monique Hitch Ron Howard Sandra Lloyd Nicole Newburg-Rinn Reginald Smith Lillian Sowah 9/23/2013
Notice of Grant Award CMDR Mahyar Mofidi Chief, Southern Branch Division of Community HIV/AID Programs HIV/AIDS Bureau/HRSA
FY 2013 Notice of Awards Key areas: Part D Awards Part D: received one NOA in August For a twelve (12) month period Make sure FY 2013 1) project and budget dates and 2) total funding amount are correct Conditions of award: Read carefully for requests and due dates
FY 2013 Notice of Awards Key areas: Part D Awards Reporting requirements: Read all of the NOAs carefully, must know what is due and due dates Allocation Report Expenditure Report Ryan White Services Report (RSR) Federal Financial Report (FFR)
Minority AIDS Initiative (MAI) Funding Hanna Endale Chief, Central Branch Division of Community HIV/AID Programs HIV/AIDS Bureau/HRSA
Minority AIDS Initiative (MAI) Funding Background: In 1999, Congress with the support of the Congressional Black Caucus authorized that a portion of the Ryan White Program funding be designated for Minority AIDS Initiatives.
Minority AIDS Initiative (MAI) Funding How MAI funds were distributed for FY13. Part D MAI funds are currently used as part of the base award to provide comprehensive primary care services to people living with HIV/AIDS. Part D: Grantees who reported 75% or greater minority populations will have 48% of the base award allocated as MAI funds.
Minority AIDS Initiative (MAI) Funding Going forward, the most recently available RSR data will be used to determine the percent of minority populations served for Part D allocations.
Minority AIDS Initiative (MAI) Funding Grantees that have MAI designated funds must report a description of the MAI population(s) served by the program. Grantees will continue to submit this information as part of the Competing Continuation Application or as part of the Non-competing progress report.
Common Indicators for HHS-funded HIV Programs Carrie Jeffries, CRNP, MS, MPH, AACRN Chief, Northeast Branch Division of Community HIV/AID Programs HIV/AIDS Bureau/HRSA
Common Indicators for HHS-funded HIV Programs and Services Seven common core indicators approved by Secretary Sebelius on June 28, 2013 DCHAP grantees are strongly encouraged to report on two: HIV Positivity Late HIV Diagnosis Linkage to HIV Medical Care Retention in HIV Medical Care Antiretroviral Therapy (ART) in Persons in HIV Medical Care Viral Load Suppression Among Persons in HIV Medical Care Housing Status Grantees can find more information at: http://www.aids.gov/pdf/hhs-common-hiv-indicators.pdf
Retention in HIV Medical Care Numerator: Number of persons with an HIV diagnosis who had at least one HIV medical care visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between the first medical visit in the prior 6 month period and the last medical visit in the subsequent 6 month period Denominator: Number of persons with an HIV diagnosis with at least one HIV medical care visit in the first 6 months of the 24 month measurement period
300,000 Ryan White Retention in Medical Care 291,449 250,000 220,645 200,000 150,000 100,000 50,000 0 RW-funded medical care and visit dates available Doshi RK et al. CROI 2013, abstract 1031a. 76% Retained in medical care Retained in medical care: At least 2 medical visits that were at least 90 days apart
Viral Load Suppression Among Persons in HIV Medical Care Numerator: Number of persons with an HIV diagnosis with a viral load <200 copies/ml at last test in the 12 month measurement period Denominator: Number of persons with an HIV diagnosis and who had at least one HIV medical care visit in the 12 month measurement period
300,000 250,000 200,000 150,000 100,000 50,000 Viral Load Suppression 250,344 174,114 70% Viral load suppressed: HIV-1 RNA <200 copies/ml at the most recent check 0 RW-funded medical care and viral load available RW-funded medical care and viral load suppressed Doshi RK et al. CROI 2013, abstract 1031a.
Viral load suppression, Retained vs. not retained Retention status Viral load suppressed (<200 copies/ml at most recent test) Retained in medical care 75% Not retained in medical care* 50% *Received at least 1 RW-funded medical visit but not retained in medical care Doshi RK et al. CROI 2013, abstract 1031a.
HHS Common Indicator Implementation and Reporting Project Officers will be discussing the Retention in Care and Viral Load indicators on the monthly monitoring calls Implementation Outcomes Technical assistance needs
Additional Areas of Interest Two Questions: 1. Does your HIV Clinic have Patient Centered Medical Home recognition or certification? If no, are you intending to apply for PCMH in the next 12 months? 2. Does your clinic currently utilize an Electronic Health Record/Medical Record for patient care?
Patient Protection and the Affordable Care Act Stephanie Yun Chief, Western Branch Division of Community HIV/AID Programs HIV/AIDS Bureau/HRSA
Patient Protection and the Affordable Care Act Enrollment Begins in Eighteen Days! Outreach, Enrollment and Education are critical! All grantees must have a process in place to screen and enroll clients in health insurance plans for which they are eligible. Grantees must vigorously pursue enrollment for all clients eligible for new coverage (HAB Policy Clarification Notices # 13-01 through 13-06)
Patient Protection and the Affordable Care Act - Important Dates October 1, 2013 March 31, 2014: Initial open enrollment season for Health Insurance Marketplaces. Enrollment Date Effective Date of Coverage Oct. 1, 2013 - Dec. 15, 2013 January 1, 2014 Dec. 16, 2013 - Jan.15, 2014 February 1, 2014 Jan. 16, 2014 - Feb. 15, 2014 March 1, 2014 Feb.16, 2014 - March 15, 2014 April 1, 2014 Mar.16, 2014 - March 31, 2014 May 1, 2014 October 15, 2014 December 7, 2014 - Annual open enrollment season for coverage beginning on January 1, 2015. Enrollment for Medicaid is open all year.
Patient Protection and the Affordable Care Act Enrollment Training What Kinds of Enrollment Trainings are Available? Every state is different To learn what your state is doing go to: http://www.statereforum.org/consumer-assistance-training Training is required for all enrollment staff 1) Navigators have a vital role in helping consumers prepare applications to establish eligibility and enroll in coverage through the Marketplace. Navigators play a role in all types of Marketplaces (in all states). 2) In-Person Assisters will assist in either a State-based Marketplace or a State Partnership Marketplace and will serve to provide similar support as Navigators. 3) Certified Application Counselors (CAC) will perform many of the same functions as Navigators. CACs will be available in all States.
Patient Protection and the Affordable Care Act Enrollment Training Your organization can still apply to be a CAC organization What does a CAC organization do? As a CAC organization, your staff and volunteers will help people understand, apply, and enroll for health coverage through the Marketplace Your organization must agree to ensure that your designated individuals complete required training, comply with privacy and security laws, and meet other program standards. Apply to be a CAC organization at http://marketplace.cms.gov/help-us/cac-apply.html
Patient Protection and the Affordable Care Act Training Events Upcoming Webinars All events can be found on HAB s TARGET Center website at http://careacttarget org September 17 th (HAB) Review of HAB s Policy Clarification Notices (Numbers 13-03 through 13-06) (3:00-4:30 pm ET) September 18 th (HRSA) Enrollment - Impact of the ACA on Safety Net Providers and their Patients: Opportunities for Outreach and Education (Noon-1 pm ET) September 20 th - HIV Health Reform Webinar Series: "We Can Do It!" The New Basics of Health Reform for Frontline HIV Workers - (2:00-3:30 pm ET - pre-registration required) September 23 rd The AIDS Education and Training Center, National Resource Center - ACA and Retaining/Gaining Insured PLWH in Your Practice (2:00-4:00 pm ET - pre-registration required)
Affordable Care Act Key Resources Consumer Websites: HealthCare.gov / CuidadoDeSalud.gov Consumer Call Center: 1-800-318-2596 Available 24/7 in 150 languages Partner/Stakeholder Website: Marketplace.cms.gov (brochures, fact sheets, Q&As, presentations and other materials available for download) HRSA s Provider Marketplace Toolkit - http://www.hrsa.gov/affordablecareact/toolkit.html http://www.cms.gov/cciio/programs-and-initiatives/health-insurancemarketplaces/assistance.html In person assister training information http://www.statereforum.org/consumer-assistance-training - state plans for training navigators and assisters http://hab.hrsa.gov/affordablecareact/ Ryan White and ACA resources http://www.careacttarget.org/aca - HAB TARGET Center - RWHAP and ACA resources Social Media: LikeHealthCare.gov / CuidadoDeSalud.gov on Facebook Follow HealthCare.gov / CuidadoDeSalud.gov on Twitter
The HAB/ DCHAP Staff Thanks All of YOU!
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