DCHAP Stakeholders Conference Call - TargetHIV · base award to provide comprehensive primary care...

DCHAP Stakeholders

Conference Call September 13, 2013

Polly E. 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

IAHCT

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

John Fanning, Senior Policy Advisor

NORTHEASTERN BRANCH

Carrie Jeffries

Branch Chief

PUBLIC HEALTH ANALYSTS

Daniel Baker

Stephanie Bogan

Alex Calvo

Kimberly Hudgens

Elijah Martin

Renata Thompson

Cecilia Yin

CENTRAL BRANCH

Hanna Endale

Branch Chief


Ralph S. Brisueño

Emily Chew

Wendy Cousino

Mindy Golatt

Karen Gooden

Elizabeth Goodger

Deborah Willis-Fillinger

SOUTHERN BRANCH

Mahyar Mofidi, DMD

Branch Chief


Gettie Audain

Tessa Brown

Wanda Chestnut

Tracey Gantt

Viven Walker-Marable

Kendra Williams

Gail Williams Glasser

WESTERN BRANCH

Stephanie Yun

Branch Chief


Kevin Bates

Carmen Brown

Monica Farmer

Monique Hitch

Ron Howard

Sandra Lloyd

Nicole Newburg-Rinn

Reginald Smith

Lillian Sowah

Menina Reyes

Administrative Associate David Pitman

Staff Assistant

9/23/2013

5600 Fishers Lane

Room 9-74

Rockville, MD 20857

301-443-0493

FAX 443-1839,1884

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 C • Part C January: received three NOAs

• Part C April: received two NOAs

• Part C July: received one NOA

Part C July: 10 month budget period July 1/2013-

April 30,2014

• 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 C 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)

FY 14 NCC CHANGES

Budget for NCC- FY 14

The Budget submitted should reflect the FY

2013 final award amount.

The Final Award amount is listed on Line 12.a.

of the Notice of Award.

If there are any questions, consult with your

Project Officers.

FY 14 NCC CHANGES

Changes in the Workplan for FY 14 A. Access to Care Objective for entire HIV program

(2 objectives )

B. Counseling and Testing Funded By Part C only

(4 objectives)

C. Clinical Quality Management

• DHHS CORE Indicators (include two in CQM)

Capacity Development – 2013

In FY 2013 –One time funds for two

types of activities :

ACA Outreach and Enrollment

Infrastructure Development.

Over 70 applications were

submitted.

Increasing Access to HIV Care &

Treatment Initiative (IAHCT)

Supplemental Funding

Stephanie Yun

Chief, Western Branch





• In FY 2012, HRSA awarded 275 grantees the

Increasing Access to HIV Care and Treatment

(IAHCT) supplemental funds.

• Funding for FY 2012

• Up to $38,000

• 141 awards for Part C only grantees

• 134 awards for Bureau of Primary Health

Care (BPHC)/Part C dually funded grantees



• What data are we capturing?

• Newly diagnosed within the past 90 days PLWH & new to

medical care

• Previously diagnosed PLWH never been in medical care

• PLWH returning to care after more than 12 months not in

medical care

• Newly enrolled PLWH transferring from another site



• Reporting requirements for IAHCT activities

will be reduced from quarterly to semi-

annually.

• IAHCT reports will be due in EHB:

• January 31, 2014

• July 31, 2014



• Dually Funded BPHC/Part C programs

received IAHCT funds in the August NOA

from the BPHC;

• Funding is for 15 months

• IAHCT reporting for BPHC/Part C

Programs

January 31, 2014

August 31, 2014



• IAHCT Reporting Requirement :

• Please contact your PO if you have an

IAHCT placeholder in EHB but did not

receive funding.

• If you did receive IAHCT funding but do not

see a template, one will be added the

month before the due date.



IAHCT Preliminary Data:

• Goal: President Obama – 7,500 enrolled into care

• IAHCT Awardee Goal: 14,335 enrolled into care

Actual Reported Numbers in 2012:

Over 20,000!

Minority AIDS Initiative (MAI)

Funding

Hanna Endale

Chief, Central Branch



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


Funding

How MAI funds were distributed for FY13.

• Part C MAI funds are currently used as part of the

base award to provide comprehensive primary care

services to people living with HIV/AIDS.

• The most currently available RSR data was used to

determine the percent of minorities served by each

program.

• For FY 2013, Part C Grantees who reported 70% or

greater minority populations will have 56% of their

base award allocated as MAI funds.


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 Continuation

progress report.

Common Indicators for HHS-funded HIV

Programs

Carrie Jeffries, CRNP, MS, MPH, AACRN

Chief, Northeast Branch



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

Ryan White Retention in Medical Care

Retained in

medical care:

At least 2

medical visits

that were at

least 90 days

apart

Doshi RK et al. CROI 2013, abstract 1031a.

76%

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

Viral Load Suppression

Viral load

suppressed:

HIV-1 RNA <200

copies/ml at the

most recent check

70%


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


HHS Common Indicator

Implementation and Reporting

• Project Officers will be discussing the

Retention and Viral Load indicators

on the monthly monitoring calls

• Implementation

• Outcomes

• Technical assistance needs

Additional Areas of Interest

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?

Two Questions:

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.

• October 15, 2014 – December 7, 2014 - Annual open enrollment season for coverage beginning on January 1, 2015.

• Enrollment for Medicaid is open all year.

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

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 17th – (HAB) Review of HAB’s Policy Clarification Notices (Numbers 13-03 through 13-06) (3:00- 4:30 pm ET)

September 18th – (HRSA) Enrollment - Impact of the ACA on Safety Net Providers and their Patients: Opportunities for Outreach and Education (Noon-1 pm ET)

September 20th - 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 23rd – 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-insurance-

marketplaces/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

http://www.hrsa.gov/affordablecareact/toolkit.html

http://www.cms.gov/cciio/programs-and-initiatives/health-insurance-marketplaces/assistance.html









http://www.hab.hrsa.gov/affordablecareact

http://www.careacttarget.org/aca

The HAB/ DCHAP Staff

Thanks All of YOU!

QUESTIONS?

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