Patient Care Update Patient Care Planning Group March 20, 2012 - - PowerPoint PPT Presentation

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Patient Care Update

Patient Care Planning Group March 20, 2012 Tampa, Florida

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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

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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

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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

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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%

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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%

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Clients on the Waiting List

749 862 1332 1107 806 3279

500 1000 1500 2000 2500 3000 3500 4000 4500

Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12

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Impro provi ving ng Healt alth.

• h. . . Promoti

ting ng Wellness ness

FLORIDA AIDS DRUG ASSISTANCE PROGRAM

Waiting List Demographics

Figures shown reflect data as of February 29, 2012

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Source: ADAP database. Figures shown reflect data as of February 29, 2012.

COUNT BY COUNTY

COUNTY TOTALS COUNTY TOTALS ALACHUA 8 LEE 2 BAKER LEON 9 BAY 1 LEVY BRADFORD 1 LIBERTY BREVARD 19 MADISON BROWARD 231 MANATEE 3 CALHOUN MARION 3 CHARLOTTE 1 MARTIN 3 CITRUS MIAMI-DADE 221 CLAY MONROE 3 COLLIER 7 NASSAU COLUMBIA 6 OKALOOSA 4 DESOTO OKEECHOBEE 1 DIXIE ORANGE 59 DUVAL 43 OSCEOLA 19 ESCAMBIA 9 PALM BEACH 42 FLAGLER PASCO 3 FRANKLIN PINELLAS 22 GADSDEN POLK 23 GILCHRIST PUTNAM 5 GULF SANTA ROSA 1 HAMILTON SARASOTA 14 HARDEE SEMINOLE 7 HENDRY-GLADES 3

• ST. JOHNS

3 HERNANDO 1

• ST. LUCIE

8 HIGHLANDS SUMTER HILLSBOROUGH 52 SUWANNEE 1 HOLMES TAYLOR 1 INDIAN RIVER 3 UNION JACKSON 3 VOLUSIA 12 JEFFERSON WAKULLA LAFAYETTE WALTON LAKE 5 WASHINGTON Total 862

ADAP WAITING LIST REPORT

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AGE & GENDER

MALE FEMALE

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.

5% 41% 51% 3% 7% 49% 42% 2%

18 - 24 25 - 44 45 – 64 ≥ 65

AGE GROUP MALE** FEMALE COUNT PERCENT COUNT PERCENT ≤ 17* 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%

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GENDER

Source: ADAP database. Figures shown reflect data as of February 29, 2012. GENDER COUNT PERCENT MALE 642 74% FEMALE 220 26% TRANSGENDER 0% TOTAL 862 100%

74 % 2 6 % 0 %

M A L E F E M A L E T R A N SG E N D E R

12 3 1 % 2 9 % 2 % 3 8 %

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 *

1 5 % 6 9 % 1 5 % 1 %

RACE/ETHNICITY

MALE FEMALE

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.

RACE/ETHNICITY GROUP MALE** FEMALE 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%

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ADAP Update

• Will schedule webinar with PCPG after

April 1 to confirm funding and expectations for the 2012-13 program year

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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

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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

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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

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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

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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.

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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

• f Disease Control and Health Protection

Many details still left to be confirmed

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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

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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