Ryan White Part A Program Update

1. Ryan White Part A Program Update March 12, 2014 Steven R. Young, MSPH Director, Division of Metropolitan HIV/AIDS Programs Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau

2. Agenda – Topics of Interest • FY 2014 Awards • All Grantee Meeting & Clinical Conference • Comprehensive Planning – Timeline • SPNS HIT Project • ACA and “Vigorously Pursue” • CMS – FAQ on 3rd Party Payment • ASPE Technical Expert Panel Meeting on Unmet Need • Monitoring the Continuum of Care • Salary Cap • Other???

3. FY 2014 Awards • Partials • Finals • Conference Calls

4. AGM & Clinical Conference • No meetings in 2014 • Re-budget administrative funds • Allowable meeting costs

5. Comprehensive Planning • Feedback on 2012 plan • Timeline • Approach/Integration Moving Forward

6. SPNS HIT Project • Overview of HRSA-14-057 • Discussion

7. ACA and “Vigorously Pursue” • Outreach & Enrollment of Potential Eligibles • Standardized Operating Procedures • Documentation • Payer of Last Resort & the Safety Net

8. CMS – FAQ on 3rd Party Payments • Encourages but does not require acceptance of Ryan White payments • Website: The FAQs can be found at http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/third-party-payments-of-premiums-for-qualified-health-plans-in-the-marketplaces-2-7-14.pdf

9. ASPE Technical Expert Meeting on Unmet Need • Purpose/Intent • Meeting Summary • Future Contract Work • Discussion

10. Monitoring the Continuum of Care • HHS Measures • Crosswalk of Ryan White service definitions and engagement activities • Performance-based incentive contracting/models of care

11. HIV Measures: HHS • Retention in medical care • Housing status HIV Positivity Late HIV Diagnosis Linkage to Medical Care Viral Load Suppression ART Mugavero M et al. Clin Infect Dis 2011; 52(Suppl 2): S238-S246.

12. Salary Cap Limitations • For FY 2014, the Consolidated Appropriations Act, 2014, Division H, § 203, Pub. L. 113-76  signed into law on January 17, 2014 includes a provision that states, “None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II.” • The Executive Level II was increased by 1 percent from $179,700 to $181,500 by Executive Order 13655. • This change in the salary limitation is effective for FY14 awards as outlined:  • Awards issued between October 1, 2013 through January 16, 2014 (Executive Level II) $179,700 • Awards issued between January 17, 2014 through September 30, 2014 (Executive Level II) $181,500

13. Other • Open Discussion • Call-in/Question Procedures

14. Discussion/Questions Contact Information: Steven R. Young, MSPH Director,Division of Metropolitan HIV/AIDS Programs HIV/AIDS Bureau, HRSA 5600 Fishers Lane Parklawn Building, Rm. 7A-55 Rockville, MD 20857 (301) 443-7136 (301) 443-5271 fax email: syoung@hrsa.gov http://careacttarget.org - Ryan White Technical Assistance

15. “Enhanced Communication” Webinar Series To suggest topics or volunteer your program’s best practices for a future webinar, contact: Luigi S. Procopio, Enhanced Communications Coordinator Email: LProcopio@HRSA.gov Phone: 301.443.0262