Patient Care Update Patient Care Planning Group March 20, 2012 Tampa, Florida 1
Patient Care Update Grants/Funding Await Part B Award on April 1, 2012 for: Part B Base ADAP Earmark ADAP Supplemental Minority AIDS Initiative Emerging Communities 2
Grant/Funding • Part B Supplemental – application due 4/27/12. $17 million to be awarded nationwide • $35 million in emergency ADAP funds announced by President Obama on World AIDS Day. Funding Opportunity Announcement (FOA) expected in April with funding awarded in July 3
Grant/Funding • Additional $2.5 million in GR allocated by legislature • $14 million in GR for ADAP services • $9.5 million ADAP funds; $2 million in redirected funds from CTG; $2.5 million new recurring GR • New funds available July 1, 2012 4
2012 Part A Awards Part A 2010-11 2011-12 2012-13 Incr/Decr Broward County $15,395,253 $15,006,261 $15,390,658 $384,397 2.6% Jacksonville $5,581,086 $5,805,921 $5,574,188 -$231,733 -4.0% Hillsborough County $9,403,477 $9,411,546 $9,531,263 $119,717 1.3% Miami-Dade County $25,699,349 $25,119,484 $24,886,625 -$232,859 -0.9% Orange County $9,089,179 $8,912,835 $8,796,014 -$116,821 -1.3% Palm Beach County $9,157,848 $8,781,650 $9,054,547 $272,897 3.1% $74,326,192 $73,037,697 $73,233,295 $195,598 0.3% 5
ADAP Update Eagerly await 4/1/12 confirmation of Part B funding Continuing to explore outsourcing components of the program through possible competitive procurement process Initiation of mail order services by Central Pharmacy anticipated in Miami-Dade in April. Since 10/11 ADAP wait list has dropped by over 75% 6
Clients on the Waiting List 4500 4000 3500 3279 3000 2500 2000 1332 1500 1107 806 862 1000 749 500 0 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 7
FLORIDA AIDS DRUG ASSISTANCE PROGRAM Waiting List Demographics Figures shown reflect data as of February 29, 2012 Impro provi ving ng Healt alth. h. . . Promoti ting ng Wellness ness 8
COUNT BY COUNTY ADAP WAITING LIST REPORT COUNTY TOTALS COUNTY TOTALS ALACHUA 8 LEE 2 BAKER 0 LEON 9 BAY 1 LEVY 0 BRADFORD 1 LIBERTY 0 BREVARD 19 MADISON 0 BROWARD 231 MANATEE 3 CALHOUN 0 MARION 3 CHARLOTTE 1 MARTIN 3 CITRUS 0 MIAMI-DADE 221 CLAY 0 MONROE 3 COLLIER 7 NASSAU 0 COLUMBIA 6 OKALOOSA 4 DESOTO 0 OKEECHOBEE 1 DIXIE 0 ORANGE 59 DUVAL 43 OSCEOLA 19 ESCAMBIA 9 PALM BEACH 42 FLAGLER 0 PASCO 3 FRANKLIN 0 PINELLAS 22 GADSDEN 0 POLK 23 GILCHRIST 0 PUTNAM 5 GULF 0 SANTA ROSA 1 HAMILTON 0 SARASOTA 14 HARDEE 0 SEMINOLE 7 HENDRY-GLADES 3 ST. JOHNS 3 HERNANDO 1 ST. LUCIE 8 HIGHLANDS 0 SUMTER 0 HILLSBOROUGH 52 SUWANNEE 1 HOLMES 0 TAYLOR 1 INDIAN RIVER 3 UNION 0 JACKSON 3 VOLUSIA 12 JEFFERSON 0 WAKULLA 0 LAFAYETTE 0 WALTON 0 LAKE 5 WASHINGTON 0 Total 862 9 Source: ADAP database. Figures shown reflect data as of February 29, 2012.
AGE & GENDER MALE FEMALE 3% 5% 2% 7% 18 - 24 42% 25 - 44 41% 45 – 64 51% ≥ 65 49% MALE** FEMALE AGE GROUP COUNT PERCENT COUNT PERCENT ≤ 17* 0 0% 0 0% 18 - 24 44 7% 11 5% 25 - 44 313 49% 91 41% 45 – 64 271 42% 112 51% ≥ 65 14 2% 6 3% TOTAL 642 100% 220 100% 10 Source: ADAP database. Figures shown reflect data as of February 29, 2012. * Not reflected in the graph. **Transgender clients (N=0) were counted in male clients.
GENDER 0 % 2 6 % GENDER COUNT PERCENT MALE 642 74% FEMALE 220 26% TRANSGENDER 0 0% TOTAL 862 100% 74 % M A L E F E M A L E T R A N SG E N D E R 11 Source: ADAP database. Figures shown reflect data as of February 29, 2012.
RACE/ETHNICITY MALE FEMALE 2 % 1 % 1 5 % 1 5 % 2 9 % 3 1 % W H I T E / C A U C A S I A N B LA C K / A FR I C A N A M . H I S P A N I C / LA T I N O O T H E R S * 3 8 % 6 9 % MALE** FEMALE RACE/ETHNICITY GROUP COUNT PERCENT COUNT PERCENT WHITE/CAUCASIAN 200 31% 32 15% BLACK/AFRICAN AM. 246 38% 152 69% HISPANIC/LATINO 185 29% 33 15% OTHERS* 11 2% 3 1% TOTAL 642 100% 220 100% 12 Source: ADAP database. Figures shown reflect data as of February 29, 2012. * Others include: Asians, multiple races, Native-Americans, and other. **Transgender clients (N=0) were counted in male clients.
ADAP Update • Will schedule webinar with PCPG after April 1 to confirm funding and expectations for the 2012-13 program year 13
ADAP/AICP/Insurance Svcs • CVS/Caremark Pharmacy Benefits Manager (PBM) for ADAP Medicare Part D clients • Allows real-time sharing of TrOOP information, assures ADAP is secondary payer • Over 700 Medicare Part D clients served • Approximately $413,000 in rebates collected from Medicare Part D and other insurance clients that received Rx co-payment assistance 14
ADAP/AICP/Insurance Svcs • 12/1/11 - $3.7 million added to Health Council of South Florida contract. Cleared wait list of over 380 persons. Opened insurance copayment and deductible assistance. • Enrollment available for insurance services without delay. • Insurance services expected to be competitively procured 15
ADAP/AICP/Insurance Svcs • PCIP – 20 PCIP clients enrolled for insurance assistance when open enrollment was restored in December 2011 • Group is considered pilot project to confirm logistics to serve a larger population in new grant year that begins 4/1/12 16
Patient Care Update Eligibility Rule Update Financial Eligibility for ADAP and other services remains at 400% of FPL Technical corrections to the rule and rule enhancements are drafted and ready for rule amendment Anticipate getting rule amendment process under way in next several weeks No changes to current financial eligibility requirement anticipated 17
Patient Care Update HRSA Site Visit Report Draft Action Plan submitted in July 2011 Feedback received in September Draft resubmitted in October Additional edits made through December Plan finalized and approved by HRSA in February 2012 25 of the approximate 45 recommendations are completed; 55% completion rate Continue to have bi-weekly call with project officer to work on remaining items Florida continues on drawdown restrictions. After about 8 months of drawdown restrictions, discussions are underway to confirm timeline for removal of restrictions. 18
Patient Care Update DOH Reorganization Reorganization approved by House and Senate. Some components such as decentralization of DOH and transition of a number of current HQ functions to CHDs were not part of final legislation. Substantially reduces the number of divisions and bureaus Division of Disease Control becomes Division of Disease Control and Health Protection Bureau of HIV/AIDS functions will be incorporated within the Bureau of Communicable Diseases in the Division of Disease Control and Health Protection Many details still left to be confirmed 19
RFP for Patient Care Services • Covers Part B consortia services, state HOPWA, and Patient Care Network • Posted 3/12/12; Cannot discuss • Eight (8) areas impacted • CHDs in 6 areas will perform lead agency functions (Miami-Dade, Broward, Palm Beach, St. Lucie, Pinellas, Duval) • 10/1/12 start date of new contracts • Contact: Jessalyn Covell, Ph: (850) 245-4444 Ext. 3141 20
Staff Changes Retirement of Tom Liberti as Chief effective March 31, 2012. Expect Dr. Julia Gill, Director, Division of Disease Control, to appoint interim chief Theresa Rush, long serving manager of the State HOPWA program, passed away 2/28/12 Gail Counts, long serving HIV/AIDS Program Coordinator for Area 8 (SW Florida), passed away 2/14/12 Roxanne Sieks, Nursing Consultant, accepted a new position within DOH 21
Recommend
More recommend
