RYAN WHITE 101
Alisha Barrett
Ryan White Part A Grantee
Clark County Social Service
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Ryan White
Ryan White was diagnosed with AIDS at age 13.
He and his mother Jeanne White Ginder fought
for his right to attend school, gaining
international attention as a voice of reason about
HIV/AIDS. In 1990, at the age of 18, Ryan White
died, just months before Congress passed the
AIDS bill that bears his name – the Ryan White
CARE Act.
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BASICS OF RYAN WHITE
HIV/AIDS PROGRAM
An Overview
The majority of Ryan White funds support
medical care and essential support services.
Ryan White funds are the payer of last
resort, as required by Congress. Also, a
smaller, but equally critical, portion funds
technical assistance, clinical training and
research on innovative models of care.
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Basics of Ryan White HIV/AIDS Program
The Ryan White legislation created a number of programs, called
Parts, to meet needs for different communities and populations
affected by HIV/AIDS.
 Part A: provides emergency assistance to Eligible Metropolitan Areas and
Transitional Grant Areas that are most severely affected by the HIV/AIDS
epidemic.
 Part B: provides grants , including ADAP assistance, to all 50 States and U.S.
Territories.
 Part C: provides primary health care in an outpatient setting for people living
with HIV disease.
 Part D: provides outpatient health care for women, infants, children and youth
with HIV/AIDS.
 Minority AIDS Initiative (MAI): provides funding to evaluate and address
the disproportionate impact of HIV/AIDS on minorities.
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How does this
relate to the
Las Vegas area?
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Part A Program
 Eligible Metropolitan Area (EMA):
 2,000 new AIDS cases in the last 5 years
 Population of at least 50,000 persons
 Transitional Grant Area (TGA):
 1,000 – 1,999 new AIDS cases in the last 5 years
 Population of at least 50,000 persons
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Las Vegas TGA
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History of Las Vegas Part A TGA
 Las Vegas Part A TGA includes:
 Nye County, Nevada
 Clark County, Nevada
 Mohave County, Arizona
 Las Vegas EMA was established in 1998
 Reclassified from an EMA to a TGA in 2005
 Chief Executive Officer (CEO) is Chair of the Clark
County Commission
 Clark County Social Service has been designated
by CEO to manage Part A grant funds
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RYAN WHITE CARE ACT AND
AFFORDABLE CARE ACT
The federal Ryan White CARE Act legislation was
originally authorized by Congress in 1990. The
authorization of the Affordable Care Act has altered the
role of the Ryan White Program.
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ASSESSMENT
Assess service needs and gaps in state and local
systems for HIV care, including special
populations.
Assess capacity and training needs of the
workforce to provide comprehensive system of
care for People Living with HIV.
Assess Models of Care and services required to
care completion.
Assess and monitor the public health impact of
the HIV disease.
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POLICY
Provides Federal leadership on State and local
initiatives that impact People Living with HIV.
Establish Federal HIV care and treatment policy
guidelines that safeguards public health and
ensures continued progress in the goal of a AIDS
Free generation.
Engage State and locate entities in partnership to
realize an AIDS Free generation.
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CAPACITY DEVELOPMENT
Train the health care workforce to provide high
quality HIV care and treatment.
Ensure capacity of state and local systems to meet
the care and treatment needs of People Living
with HIV.
Support the Health Information Technology to
increase quality and capacity of care.
Provide technical assistance to support the
provision of evidence-based Models of Care.
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QUALITY ASSURANCE
Establish and monitor the HIV quality
measures/indicators to assure high-quality care
that adheres to DHHS standards of care.
Collect, analyze, evaluate and report on health
outcomes of People Living with HIV to improve
and advance the treatment of care.
Assure the availability of HIV care and treatment
across the nation.
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ACTION STEPS
 Align client eligibility determination with
Marketplace enrollment periods
 Reduce burden by using AGI
 Collect Marketplace/Medicaid notice of eligibility
determination for annual RWHAP recertifications
 Be able to document process for pursuing
enrollment
 Establish methodology for conducting
Marketplace cost-effectiveness
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RYAN WHITE FUNDING
Part A Federal Grant Funds
Part A federal grants include two parts, Formula and
Supplemental.
•Formula grants are based on reported living HIV/AIDS cases as of
December 31 in the most recent calendar year for which data is
available from the Center for Disease Control
•Supplemental grants are awarded competitively on the basis of
demonstrated need and other criteria determined by the federal
government
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Part A Federal Grant Funding Flow Chart
Congress passes Ryan White
Legislation and awards
funding
Health Resources and Services
Administration (HRSA)
manages Federal Grant
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Federal Grants are awarded to
areas that qualify as a Part A,
and MAI
Las Vegas TGA Part A Funding Flow Chart
HRSA awards federal grant to Las
Vegas TGA’s CEO
CEO (Chair of Clark County
Commission) accepts federal
grant funds
Clark County Social Service
(CCSS) manages federal grant
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CCSS contracts funds with
local providers
Las Vegas TGA Part A Funding
 Federal grant funds include
 85% Direct Services
 10% Administration
 5% Clinical Quality Management
 Las Vegas Grant Amount Part A
 Grant Year 2013-2014 $4,998,237.00
 Las Vegas Grant Amount MAI
 Grant Year 2013-2014 $341,702.00
 Funding contracted to Providers
 90% Direct Service
 10% Administration
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RYAN WHITE PART A
SERVICES
Core and Support Services
Part A funds may be used to provide
a wide variety of medical and support
services for people living with HIV
disease. Services categories and
definitions are mandated by Ryan
White Legislation.
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Ryan White Part A Core Services
The Las Vegas TGA is required to allocate at least 75% of the
award amount on Core Medical Services per legislation.
Core Services Include:
•Outpatient/Ambulatory Medical Care
•AIDS Pharmaceutical Assistance
•Oral Health Care
•Early Intervention Services
•Health Insurance Continuation
•Medical Nutrition Therapy
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•Hospice Services
•Home/Comm Based Health Services
•Mental Health Services
•Substance Abuse Outpatient Care
•Home Health Care
•Medical Case Management
Ryan White Part A Support Services
The Las Vegas TGA is required to allocate no more than
25% of the award amount on support services. All
support services must be linked to medical outcomes
per legislation.
Support Services Include:
•Case Management (non-medical)
•Child Care Services
•Emergency Financial Assistance
•Utilities
•Housing
•Food
•Medication
•Food Bank/Home Delivered Meals
•Health Ed/Risk Reduction
•Housing Services
•Treatment Adherence
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•Legal Services
•Linguistics Services
•Medical Transportation Services
•Outreach Services
•Permanency Planning
•Psychosocial Support Services
•Referral: Healthcare/Supp Service
•Substance Abuse (Residential)
•Rehabilitation Services
•Respite Care
Priority Setting & Resource Allocation
GY 2013-2014
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LAS VEGAS PART A TGA
Services Today
The Las Vegas TGA provides
comprehensive medical and
support services to people living
with HIV disease that are eligible
for the Ryan White Part A Program.
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Las Vegas Part A TGA Service Providers
March 1, 2014 – February 28, 2015
•Aid for AIDS of Nevada
1120 Almond Tree Lane
Las Vegas, NV 89104
(702) 382-2326
•Community Counseling Center
714 E. Sahara Ave #101
Las Vegas, NV 89104
(702) 369-8700
•Community Outreach Medical Center
1140 Almond Tree Lane, Suite 306
Las Vegas, NV 89104
(702) 657-3873
•AIDS Healthcare Foundation
1815 E. Lake Mead Blvd. STE113
North Las Vegas, NV 89030
(702) 639-8110
•Golden Rainbow
3201 S. Maryland Parkway STE 218
801 S. Rancho Dr. Suite B-1B
Las Vegas, NV 89109
Las Vegas, NV 89106
(702) 862-8075
(702) 384-2899
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Las Vegas Part A TGA Service Providers
March 1, 2014 – February 28, 2015
•North Country Healthcare
1510 Stockton Hill Road
Kingman, AZ 86401
(928) 718-4530
•UMC Wellness Center
701 Shadow Lane, Suite 200
Las Vegas, NV 89106
(702) 383-2691
•Nye County Health & Human Services
1981 E. Calvada Blvd. North STE#120
Pahrump, NV 89048
(775)751-7090
•UNLV School of Dental Medicine
1700 W. Charleston Blvd. Bldg A
Las Vegas, NV 89106
(702) 774-2451
•Southern Nevada Health District
Sexual Health Clinic
400 Shadow Lane STE 106
Las Vegas, NV 89107
(702) 759-0702
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Ryan White Program 2013 and Beyond
Ryan White did not see legislative action in 2013
Appropriations/debt ceiling/sequestration taking up
much of legislative discussion and debate
Committees have other priority areas that MUST be
worked on
Need real information about how Affordable Care Act
(ACA) will impact Ryan White clients
Ryan White’s authorization will lapse BUT program
will continue to be funded and implemented
Ryan White recipient organizations continue to teach
Members of Congress and their staff on importance of
Ryan White post-ACA implementation
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HOW YOU CAN GET
INVOLVED
Las Vegas TGA Planning Council
Planning Councils are a legislatively mandated
group. They play a key role in providing a
comprehensive system of care for people living
with HIV.
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Las Vegas Part A TGA Planning Council
Roles and Responsibilities
 Develop Operating Policies & Procedures
 Assess needs of TGA
 Develop comprehensive plan
 Set priorities and allocate resources to core and
support service categories
 Help ensure coordination of services with other HIVrelated services
 Assess the administrative mechanism
 Develop standards of care
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Las Vegas Part A TGA Planning Council
If you would like to learn more about our Planning
Council please visit: www.lasvegasema.org
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Las Vegas Part A TGA Planning Council
Upcoming Meeting
 Meeting Specifics:
Date: May 28, 2014
Time: 10:00 am – 12:00 pm
Location: Clark County Social Service
3rd Floor Training Room
1600 Pinto Lane
Las Vegas, NV 89106
Questions: 702-455-1071
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Las Vegas Part A TGA
Questions??
Alisha Barrett
Grant Administrator
Las Vegas Part A TGA
p: 702-455-1071
email: akc@clarkcountynv.gov
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