Central Texas hiv/aids planning Area



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Temple/Killeen HSDA Allocations 2012-2013:



Service

Ryan White

State Services

Changes from 2011-2012 Allocations

Outpatient/Ambulatory Medical Care

$11,000

$0




Mental Health Services

$0

$0

This service category is no longer funded in the Temple/Killeen HSDA (a decrease of $3,000) as local no-cost and low cost mental health resources provide sufficient mental health services to meet client need. BVCOG monitoring and assessment of mental health needs will continue to ensure this need is met in the community and Ryan White/State Services funding is not required.

Oral Health Services

$21,430

$8,000

Oral Health funding was decreased $8,000 for 2012-2013 as the provider has completed its oral health waiting list.

Health Insurance Premium and Cost Sharing Assistance

$17,182

$0




AIDS Pharmaceutical Assistance-Local

$67,000

$0




Case Management- Non-Medical

$166,500

$61,000

Funding has increased $11,000 in this service category for 2012-2013 as rising health insurance costs would have resulted in the reduction of case management staff and restricted client access to quality case management services.

Food Bank/Home Delivered Meals

$0

$3,500




Transportation Services

$0

$9,000



Waco HSDA Allocations 2012-2013:



Service

Ryan White

State Services

Changes from 2011-2012 Allocations

Outpatient/Ambulatory Medical Care

$33,575

$0




Mental Health Services

$4,156

$0




Oral Health Services

$39,062

$25,685

Oral Health funding was increased $2,569 for 2012-2013 in response to increasing need for specialty dental services.

Health Insurance Premium and Cost Sharing Assistance

$34,644

$0




AIDS Pharmaceutical Assistance-Local

$33,380

$0




Case Management- Non-Medical

$141,418

$54,000




Food Bank/Home Delivered Meals

$1,000

$200




Transportation Services

$0

$10,000




Medical Case Management

$62,775

$0





Appendix D: Services by HSDA and Funding Status



Austin HSDA

Service Category

Ryan White / State Funding Status

Ambulatory / Outpatient Medical Care

Funded by Ryan White Parts A, B, C, State Services, and Travis County Healthcare District

Medical Case Management

Funded by Ryan White Part A and City General Revenue

Mental Health Services

Funded by Ryan White Part A and State Services

Substance Abuse – Outpatient

Funded by Ryan White Part A

Hospice

Funded by Ryan White Part A

Oral Health Care

Funded by Ryan White Parts A, B, and C

Health Insurance Continuation

Funded by Ryan White Parts A and B, and State Services

AIDS Pharmaceutical Assistance – Local

Funded by Ryan White Parts A, B, C, State Services, and Travis County Healthcare District

ADAP

Funded by Ryan White Parts A and B

Early Intervention Services

Funded by Ryan White Part A and MAI

Medical Nutrition Therapy

Funded by Ryan White Part A

Case Management –

Non-Medical



Funded by Ryan White Parts A, B, MAI, and State Services

Food Bank

Funded by Ryan White Part A and State Services

Outreach Services

Previously funded by Ryan White Part A and MAI

Medical Transportation

Funded by Ryan White Parts A and C, and State Services

Psychosocial Support

Funded by Ryan White Part A

Substance Abuse- Residential

Funded by Ryan White Part A



Bryan HSDA

Service Category

Ryan White / State Funding Status

Case Management –

Non-Medical



Funded by Ryan White Part B and State Services

Ambulatory / Outpatient Medical Care

Funded by Ryan White Part B

AIDS Pharmaceutical Assistance – Local

Funded by Ryan White Part B

Oral Health Care

Funded by Ryan White Part B

Medical Transportation

Funded by State Services

Health Insurance Continuation

Funded by Ryan White Part B

Food Bank

Funded by State Services

Housing Assistance

Provided by HOPWA

Mental Health Services

Funded by Ryan White Part B

Related Housing Services

Provided by HOPWA




Concho Plateau HSDA

Service Category

Ryan White / State Funding Status

Medical Case Management

Funded by Ryan White Part B

Case Management –

Non-Medical



Funded by Ryan White Part B and State Services

AIDS Pharmaceutical Assistance – Local

Funded by Ryan White Part B

Oral Health Care

Funded by Ryan White Part B

Ambulatory / Outpatient Medical Care

Funded by Ryan White Part B

Housing Services

Provided by HOPWA

Food Bank

Funded by State Services

Medical Transportation

Funded by State Services

Related Housing Services

Provided by HOPWA

Mental Health Services

Funded by Ryan White Part B

Health Insurance Continuation

Funded by Ryan White Part B










Temple – Killeen HSDA

Service Category

Ryan White / State Funding Status

Case Management –

Non-Medical



Funded by Ryan White Part B and State Services

Ambulatory / Outpatient Medical Care

Funded by Ryan White Part B

AIDS Pharmaceutical Assistance – Local

Funded by Ryan White Part B

Oral Health Care

Funded by Ryan White Part B

Medical Transportation

Funded by State Services

Health Insurance Continuation

Funded by Ryan White Part B

Related Housing Services

Provided by HOPWA

Housing Services

Provided by HOPWA

Food Bank

Funded by State Services




Waco HSDA

Service Category

Ryan White / State Funding Status

Ambulatory / Outpatient Medical Care

Funded by Ryan White Part B

Medical Case Management

Funded by Ryan White Part B

Case Management –

Non-Medical



Funded by Ryan White Part B and State Services

AIDS Pharmaceutical Assistance – Local

Funded by Ryan White Part B

Oral Health Care

Funded by Ryan White Part B

Medical Transportation

Funded by State Services

Health Insurance Continuation

Funded by Ryan White Part B

Mental Health Services

Funded by Ryan White Part B

Food Bank

Funded by State Services

Housing Services

Provided by HOPWA

Related Housing Services

Provided by HOPWA


Appendix E: Ryan White Part B Contracted Providers and Service Locations


HSDA

Name

Address

Phone / Fax

Hours

Austin

AIDS Services Austin
Jack Sansing Dental Clinic

7215 Cameron Rd

Austin, TX 78752


3000-A Medical Arts
Austin, TX 78705

p: 512-458-2437

f: 512-452-3299


p: 512-479-6633

f: 512-479-6617



8:30 am – 5:30pm

Monday-Thursday

9am – 5pm

Friday 8am- 12pm




Community Action Inc.


204 S. Main St

Elgin, TX 78621


805 West University

Georgetown, TX 78627


700 North LBJ Drive Suite 111

San Marcos, TX 78666



p: 512-285-3667

f: 512-285-4030


p: 512-930-3281

f: 512-948-4031


p: 512-754-6628

f: 512-392-1191




8am – 5pm

David Powell

4614 N IH-35

Austin, TX 78751



p: 512-978-9100

f: 512-978-9180



Monday/Thursday/Friday:

8am- 5pm


Tuesday/Wednesday

8am- 7pm


Waterloo Counseling Center

314 E Highland Mall

Suite 301

Austin, Texas 78752




p: 512-444-9922

f: 512-444-9926




7am- 5pm

Wright House Wellness Center

4301B North IH-35 Austin, Texas 78722

p: 512-467-0088

f: 512-467-0829




Monday – Thursday

9:00am - 5:30pm

Friday

9am - 5pm




Bryan – College Station

Project Unity- Special Health Services

4001 East 29th Street, Suite 150

Bryan, TX 77802



p: 979-595-2900

f: 979-595-2901



8am – 5pm

Concho Plateau

Shannon Hospital- Shannon Supportive Health Services

210 East Harris Avenue

San Angelo, TX 76903



p: 325-481-8905

f: 325-481-8456



8am – 5pm

Temple – Killeen

United Way of the Greater Fort Hood Area- Central Texas Support Services

2027 S 61st Street

Suite 100B

Temple, TX 76504


p: 254-778-2495

f: 254-778-4302



8:30 am –

4:30 pm


Waco

Waco / McLennan County Public Health District

225 West Waco Drive

Waco, TX 76707



p: 254-750-5499

f: 254-750-5480



8:30 a.m.– 4:30 p.m.


1Texas Department of State Health Services, “Hispanics in Texas: Late Diagnosis and Out of Care”, October 2009.

2 Kahn, J. et al. “A Practical Guide to Measuring Unmet Need for HIV Related Primary Medical Care: Using the Unmet Need Framework”. May 2003.

3DSHS HIV/STD Program. “Unmet Need Estimates for HIV-Related Medical Care in Texas”.

4 Survey participant demographics are compared against demographic data of all PLWHA in the CTHASA reported in ARIES as a measure of representation. The data reflect the demographic distribution of PLWHA in the CTHASA through December 31, 2008, the most recent data set at the time of the assessment report.

5 Current ARIES clients not calculable for age distribution as age ranges differ.

6 Kaiser Family Foundation, “Health Insurance Coverage of the Total Population, states (2009-2010), U.S. (2010)”, 2009-2010

4Need for Emergency Financial Assistance and Outreach services were asked of all participants, not only of participants who stated they had not used the services.

7


8 Medical Case Management is a HRSA-defined core medical service while Non-Medical Case Management is not. The primary distinction between the two service categories is that Medical Case Management works more in-depth to address client medical issues like treatment adherence.

9Emergency Financial Assistance and Outreach services use was not asked during the survey

10Need for Emergency Financial Assistance and Outreach services were asked of all participants, not only of participants who stated they had not used the services.

11 Ashman J.J., Conviser R., Pounds M.B. Associations Between HIV-positive Individuals’ Receipt of Ancillary Services and Medical Care Receipt and Retention. AIDS Care. 2002:14. p. 109 – 118.

12 Lo W., MacGovern T., Bradford J. Association of Ancillary Services with Primary Care Utilization and Retention for Patients with HIV/AIDS. AIDS Care. 2002:14. p. 45 – 57.

13 Cunningham W.E., Andersen R.M., Katz M.H., et al. The Impact of Competing Subsistence Needs and Barriers on Access to Medical Care for Persons with Human Immunodeficiency Virus Receiving Care in the United States. Medical Care. December 1999, 37(12). P. 1270 – 1281.

14 A.H. Maslow, A Theory of Human Motivation, Psychological Review 50(4) (1943):370-96.

15 Riley, E. et al. Poverty, unstable housing, and HIV infection among women living in the United States, Current HIV/AIDS Reports. 4(4) 2007: 181-186.

16 Graham, R.P. et al, HIV/AIDS in the Rural United States: Epidemiology and Health Services Delivery, Medical Care Research and Review 52(4) 1995: 435-452.

17 The unfunded service categories (Emergency Financial Assistance and Outreach) were not included in the questions on barriers to care services.

18 Gardner, E. et al. The Spectrum of Engagement in HIV Care and its Relevance to Test-and-Treat Strategies for Prevention of HIV Infection. Clinical Infectious Diseases 2011;52(6):793–800.

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