Jean A CadetHCS Data Analyst

VACRS Data Update

Outline

• Overview of ADAP client enrollment• Distribution of VACRS clients Served between April and

December 2014• Data system option update

Summary of ADAP Enrollment by Program by Region, December 2014 (N=5,370)

Northwest Northern Southwest Central Eastern0

200

400

600

800

1000

1200

1400

1600

1800

130

593

191

515692

272

532

189

515

833

68

86

88

97

119

80

148

98

70

54

ICAPMPAPACADirect ADAP

ACA: Affordable Care ActICAP: Insurance Continuation Assistance ProgramMPAP: Medicare Part D Assistance ProgramADAP: AIDS Drug Assistance Program

Risk Category of Enrolled ADAP Clients, December 2014

54%

6%

22%

4%

1%

13%

Male-to-male sexual contact (MSM)

Injection drug use (IDU)

High risk heterosexual

MSM/IDU

Other

Unknown

Data derived from HIV Surveillance, VACRS, ADAP data; Division of Disease Prevention, Virginia Department of Health

Jan 2012

June 2012

Dec 2012

Jan 2013

June 2013

December

2013

January

2014*

May 2014

June 2014

July 2014

August

2014

Septem

ber 2014

October

2014

November

2014

December

20140%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2529 2903 4032 4175 4273 4432 4067

27192163 2141 2118 2101 2123 2104 2100

293 344 372378

408 417

434

481 478 478 474 460 463 461 457

217 431 391

381

73

129

166

304

337 371 395 404 426 436 450

211

2309 2314 2331 2340 2341 2345 2343 2342

Direct ADAP MPAP PCIP ICAP ACA

Perc

ent o

f ADA

P Cl

ient

s (Du

plica

ted)

*Note: In January 2014, automated disenrollment from Direct ADAP began for those not filling prescriptions in the last 6 months. 462 persons were disenrolled for this reason during January 2014.

ADAP: AIDS Drug Assistance ProgramMPAP: Medicare Part D Assistance ProgramPCIP: Pre-existing Condition Insurance PlanICAP: Insurance Continuation Assistance ProgramACA: Affordable Care Act

ADAP Enrolled by Program: 2012 to 2014

Jan 2012

June 2012

Dec 2012

Jan 2013

June 2013

December

2013

January

2014*

May 2014

June 2014

July 2014

August

2014

Septem

ber 2014

October

2014

November

2014

December

20140

500

1000

1500

2000

2500

3000

3500

4000

1791 19612434

28802536 2551

2892

19251551 1497 1418 1496 1509 1403 1612

308342

335

307314 325

353

391

388 398 381 383 379 372381

125

11791284 1318

1049 818 644472

480

Direct ADAP MPAP PCIP ICAP ACA *Note: In January 2014, automated disenrollment from Direct ADAP began for those not filling prescriptions in the last 6 months. 462 persons were disenrolled for this reason during January 2014.

ADAP: AIDS Drug Assistance ProgramMPAP: Medicare Part D Assistance ProgramPCIP: Pre-existing Condition Insurance PlanICAP: Insurance Continuation Assistance ProgramACA: Affordable Care Act

**These numbers do not yet include all medications dispensed after insurance Maximum Out of Pocket costs are met due to incomplete data.

Clients Receiving a Medication/Copayment Charged to ADAP**

Ryan White Part B clients* served by region, race and gender, between 04/01/2014 and 12/31/2014

Northwest (N=1008)

Northern (N=400)

Southwest (N=956)

Central (N=1694)

Eastern (N=136)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

39.4%25.3%

36.9%

14.4% 17.6%

10.5%

8.0%

8.3%

3.2%7.4%

22.7%

28.0%

29.5%

47.5%38.2%

15.9%26.0%

20.4%23.6%

33.1%

7.4% 7.8%3.8%

7.0%2.9%3.3% 4.8% 3.2%

Other Race† Transgender

Other Race† Female

Other Race† Male

Black Transgender

Black Female

Black Male

White Transgender

White Female

White Male

Region

Prop

ortio

n of

clie

nts s

erve

d

* Funding sources include Part B Direct, Part B Consortia, and Minority AIDS Initiative (MAI) Part B†Other Race may include those of Hispanic ethnicity who do not identify in any other racial group

Data Systems Update

• Systems being assessed:– VACRS– CAREWare– eCOMPAS

• Expected completion date– Early Fall 2015

• Completed steps in the assessment:– eCOMPAS pilot test– Provider assessment

Questions

Jean A CadetPhone: 804-864-7862

Jean.cadet@vdh.virginia.gov