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Transitioning Clients from ADAP to the VA

Transitioning Clients from ADAP to the VA. Presented by: Lisa Daniel, MPA. Identifying the Need. Conducted a Program Evaluation Identified areas where KADAP was not payer of last resort

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Transitioning Clients from ADAP to the VA

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  1. Transitioning Clients from ADAP to the VA Presented by: Lisa Daniel, MPA

  2. Identifying the Need • Conducted a Program Evaluation • Identified areas where KADAP was not payer of last resort • Found a significant number (approximately 10 percent) of clients were potentially eligible for VA health care benefits.

  3. Determining Who is Eligible • Recertification Application in Fall 2000 asked “Are you a Veteran?” • 35 applicants marked “Yes” • Mailed letter and form with more detailed questions • Are you a Veteran? • Did you serve on active duty for over 180 days with the Army, Navy, Air Force, Marines, Coast Guard, or activated National Guard or Reserves? • Did you receive an Honorable, General or Other than Honorable Discharge?

  4. Determining Who is Eligible • 18 of 35 applicants were eligible • Yielded a savings of $11,500 per month • To date – transferred 30-40 clients • Clients we didn’t catch initially • Waiting list clients

  5. Contacting VA Hospitals • Contacted VA hospitals in Kentucky • Identified a single point of contact at each hospital • Clients were instructed to contact the nearest VA hospital for an appointment

  6. “Federal Benefits for Veterans and Dependents” • A book published each year by VA • Provides information on services offered by VA (not just medical services) • To qualify for medical services, a person must have • Honorable, general or other than honorable discharge • Served 180 days (this varies depending on time of service) • Copies of DD-214 • Sliding Fee Scale applies

  7. Each VA Hospital is Different • Some have case managers specifically for PLWHAs • Some require approval for benefits before an appointment is scheduled • Some will allow the clients to retain their current HIV specialist

  8. Notifying the Clients • Mailed each potentially eligible client a letter • Informed client they were potentially eligible for Veteran’s health care benefits • Reminded client KADAP is payer of last resort • Instructed client to contact the nearest VA office • Required client to submit denial letter from VA • Allowed 6-8 weeks for VA application process

  9. Client Follow-Up • If no response was received 7-10 days before deadline, mailed reminder notice • If no response to reminder notice, client was removed from KADAP • Allowed extensions for clients

  10. T*II CANN Article • July/August 2000 edition featured article • Used questions listed in article • Opted not to ask for copies of DD-214 (discharge papers)

  11. Client Testimonials • Follow-up with clients • Clients found they were eligible for more than just health care benefits with VA • Clients refused to use VA – not being served by KADAP

  12. QUESTIONS?

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