The Kansas Ryan White Part B Program


Providing Care and Support Services for Kansans Living with HIV-Infection


1000 SW Jackson, Suite 210
(785) 296-6174

Topeka, Kansas 66612
FAX (785) 296-5590

Megan Brokaw, Care Program Manager

Carly Craig, AIDS Drug Assistance Program Coordinator

Scott Strobel, Care Quality Coordinator

VACANT, Eligibility Coordinator

Melanie Wright, Linkage-to-Care Coordinator

Kenny Cochrane, Linkage-to-Care Coordinator

 


Ryan White Program

In response to the AIDS crisis, Congress enacted the Ryan White CARE ( Comprehensive AIDS Resources Emergency) Act in August 1990 to improve the availability of care for low-income, uninsured, and underinsured individuals and families affected by HIV and AIDS.

The Ryan White HIV/AIDS Treatment Modernization Act is primary funder for HIV/AIDS health and social services including primary medical care, medication assistance, health insurance assistance, mental health counseling, substance use treatment, home health care, dental care and medical case management. Ryan White Care funding and administration are managed by the Health Resources and Services Administration (HRSA), which is part of the U.S. Department of Health and Human Services (DHHS). The state of Kansas Department of Health and Environment (KDHE) is the state-level agency within Kansas that distributes and manages Ryan White Part B and the AIDS Drug Assistance Program (ADAP) as mandated by the Ryan White Treatment Modernization Act.

Part B medical case management services provide clients with linkages to health, social and wrap-around services from key access points across Kansas. It should be noted, however, that Ryan White funding is considered the payer of last resort. If a client has access to other forms of support (i.e. private insurance or Medicaid), those forms of support must be utilized prior to accessing Ryan White funding.


The Ryan White Program in Kansas

The Ryan White Part B Program in the State of Kansas began assisting Kansans Living with HIV long before the enactment of The Ryan White HIV/AIDS Treatment Modernization Act in 1990. Resources utilized to provide this care included private donations, community-based organizations throughout the state, and federal funding for a statewide ADAP (beginning in 1987). Since this time, the Part B Program has continuously received federal and state funding for assistance with the following:

  •  Medications through the statewide AIDS Drug Assistance Program (ADAP);
  •  Medical Case Management;
  •  Primary Care services;
  •  Dental Care services; and
  •  Mental Health and Substance Abuse services through the HOPWA program;

The purpose of these funds is to provide care for persons living with HIV infection who are not covered by public or private sources. These resouces assure that all Kansans living with HIV infection throughout the state have access to the resources to monitor, adhere, and treat infection, in order to achieve the highest quality of life possible.

The Kansas Department of Health and Environment's SIT/HIV Section Care Program is responsible for administration of Part B and ADAP activitiesPart B funds are to be accessed only when no other support is available, serving as payer of last resort.

Mission Statement: To empower and engage HIV-positive Kansans in care.

Vision Statement: A Kansas where there are no new HIV diagnoses because all HIV-positive Kansans are healthy and empowered to engage and remain in care.


Client Eligibility

To be eligible for services in Kansas clients must provide the following:

  •  Documentation of a Kansas residence;

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  •  Documentation of HIV infection;

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  •  Documentation of family income at or below 300% of current federal poverty guidelines;

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  •  Clients who are institutionalized or living within a facility that is primarily responsible for medical and health care services are not eligible for services; and

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  •  Clients must provide updated information through a twice yearly renewal process with their Medical Case Manager. Any changes prior to this renewal process must be reported immediately.

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Linkage-to-Care Program

The Linkage-to Care (LTC) Program is a standard service to navigate HIV-positive individuals through care once they know their HIV positive result. The primary goal of LTC is to link the newly diagnosed individual into medical care. Delays in seeking medical care have obvious implications both for treatment and prognosis of HIV-infected patients, and for the further propagation of the epidemic. In recognition of this problem, LTC is the primary prevention/care model that will be utilized to link HIV-infected persons to appropriate medical care, prevention services, local resources and treatment soon after testing HIV positive.


Medical Case Management Services

Medical Case Management is a comprehensive service delivery system designed to link individuals with needed care components. Enhancing client self-care, independence and self-determination are the primary goals of this program. Clients are expected to be involved in all aspects of their care, including problem-solving functions to the maximum extent possible. Proactive, coordinated efforts by healthcare providers in community-based organizations will assist clients in obtaining optimum wellness, as well as making the best possible user of available resources.
The role of the Medical Case Manager is multi-faceted. In addition to outreach and intake, the Medical Case Manager is responsible for the following:

  •  Assessing the individual's need for services;
  •  Determining availability and feasibility of services;
  •  Developing a plan of care that includes home and community-based services appropriate to the individual's medical, social, and financial condition;
  •  Arranging for service delivery;
  •  Monitoring service delivery;
  •  Maintaining confidentiality of client records with the service delivery system; and
  •  Conducting ongoing evaluation of the effectiveness of the plan of care;

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AIDS Drug Assistance Program (ADAP)

The Kansas AIDS Drug Assistance Program (ADAP) is a statewide program that provides eligible clients medications for the treatment of HIV/AIDS. The Kansas ADAP works collaboratively with the Division of Health Care Finance (DHCF), also referred to as the state's Medicaid Program. Through this partnership, the Kansas Care Program maintains the eligibility of the ADAP while the Medicaid Program oversees the claims processing of the program.

The Kansas ADAP is funded through a variety of sources. Although a majority of funding is received through HRSA, the program also receives funding from the State of Kansas and rebates through pharmaceutical companies. Those clients identified through the Kansas ADAP and the Kansas Medically Needy program (Medicaid) with an unmet spenddown are additionally benefited through these funding sources. Those clients accessing ADAP services and have Medicaid Medically Needy are automatically eligible for spenddown assistance.

Services are available to all eligible clients within the Kansas Ryan White Part B Program. These services provide reimbursement for medications listed on the Kansas ADAP Medication Formulary. This formulary currently includes all FDA-approved medications for the treatment of HIV infection, including other medications that are utilized for prevention and treatment of secondary infections.

KS ADAP Formulary September 2014 (pdf)


Health Insurance Continuation

The Health Insurance Continuation Program provides premium assistance through the ACA workplace to clients who are not eligible for Medicaid, Medicare, or employer-based insurance. The following are NOT allowable expenses of the Health Insurance Continuation Program:

  •  Payment of premiums directly to clients;
  •  Premium assistance for clients who are eligible for employer-based insurance;
  •  Premium assistance for substandard insurance plans; and
  •  Premiums toward state and federal funded programs ( such as Medicare and Medicaid).

Medication Services

Medication assistance is provided to clients who are enrolled in employer-based insurance, Medicare, or a private insurance policy. Medication assistance includes covering the cost of prescriptions, co-payment, deductibles, and coinsurances. The following are NOT allowable expenses:

  •  Payment of co-pays already paid by the clients;
  •  Co-pays for medications not on the ADAP Formulary at the time of service; and
  •  Payment of co-pays where the pharmacy or pharmaceutical company is not contracted with Kansas Me

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Dental Care Services

The Kansas Care Program assists clients in preventative oral hygiene and infection control that can pose a greater burden on the immune system.

The dental provider network is made up of limited providers throughout the state of Kansas that are willing to provide these services. Dental services are available to any Ryan White Part B approved client who does not have access to other dental coverage.


Primary Medical Care Services

The Kansas Care Program provides clients with access to qualified medical professionals throughout the state for treatment of HIV infection and illnesses related to the progression fo the infection. The Primary Care Services Network is one of the cornerstones of HIV care in the state of Kansas. As eligible clients access these services, they can be monitored and treated by physicians with the expertise in treating HIV infection.

Services are available to eligible Ryan White Part B clients for any service related to the diagnosis, monitoring and treatment of HIV-infection and those disease states/illnesses associated with this infection. These include, but are not limited to:

  •  Physician and nurse visits;
  •  Routine bloodwork; and
  •  Preventive care services.

Services outside of those listed above need to be prior authorized by calling (785) 368-6567.

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Mental Health and Substance Abuse Services ( through coordination

with HOPWA)

Mental Health and Substance Abuse allow clients to address needs and coping mechanisms that may be restricting better health. Services are available to all eligible Part B clients who do not have access to other mental health or substance abuse coverage. Mental health services include individual counseling, pain management, and medication adherence counseling. Substance abuse services include outpatient drug/ alcolhol treatment, individual counseling, and pain management.

Cerification of Medical Case Management Services

As the front line in providing vital service linkages for people living with HIV/AIDS, medical case managers, medical case managers assistants and students must be adequately and appropriately experienced and trained. Training and certification of the skills and knowledge of medical case managers is closely monitored by the state Care Program office.

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Regional Medical Case Management Sites

Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 6 Region 6 Region 4 Region 4 Region 4 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 6 Region 6 Region 6 Region 4 Region 4 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 7 Region 6 Region 4 Region 4 Region 3 Region 1 Region 3 Region 1 Region 2 Region 9 Region 9 Region 9 Region 9 Region 9 Region 9 Region 7 Region 7 Region 7 Region 4 Region 7 Region 7 Region 7 Region 8 Region 4 Region 4 Region 3 Region 2 Region 9 Region 9 Region 9 Region 9 Region 9 Region 9 Region 8 Region 8 Region 8 Region 4 Region 5 Region 5 Region 5 Region 5 Region 5 Region 9 Region 9 Region 9 Region 9 Region 9 Region 9 Region 8 Region 8 Region 8 Region 8 Region 8 Region 8 Region 5 Region 5 Region 5 Region 9 Region 9 Region 9 Region 9 Region 9 Region 9 Region 8 Region 8 Region 8 Region 8 Region 8 Region 5 Region 5 Region 5 [Region 1] [Region 2] [Region 3] [Region 4] [Region 5] [Region 6] [Region 7] [Region 8] [Region 9]

This is an image of the State of Kansas where you can click on a county to view the case management site in that region.

Linkage-to-Care Coordinators

Kenny Cochrane
1000 SW Jackson, Ste 210
Topeka, KS 66612
Phone: (785) 296-3328
kcochrane@kdheks.gov

Melanie Wright
300 West Douglas, Ste 700
Wichita, KS 67202
Phone: (316) 213-2309
mawright@kdheks.gov


Regions 1 and 2

Kansas City, Missouri Health Department
2400 Troost, Suite 3100
Kansas City, MO 64108
Phone: (816) 513-8230

For more information: Missouri Department of Health and Senior Services

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Region 3

Heartland Community Health Center
1 Riverfront Plaza #100
Lawrence, KS 66044
Phone: (785) 841-7297
Fax: (785) 856-0375

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Region 4

Positive Connections
1001 SW Garfield Ave
Topeka , KS 66604
Phone: (785) 232-3100
Fax: (785) 232-3186

For more information: http://pcneks.org/

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Region 5

Crawford County Health Department
410 East Atkinson, Suite A
Pittsburg, KS 66762
Phone: (620) 231-5411
Fax: (620) 231-1246

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Region 6

Positive Connections @ Riley CHD
2030 Tecumseh Road
Manhattan , KS 66502
Phone: (785) 776-4779
Fax: (785) 565-6565

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HelpNet

Region 7

Salina-Saline County Health Department
125 West Elm Street
Salina , KS 67401
Phone: (785) 826-6600
Fax: (785) 826-6614

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Positive Directions

Region 8

Positive Directions
414 S Commerce
Wichita , KS 67202
Phone: (316) 263-2214
Fax: (316) 263-5214

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United Methodist Western Kansas Mexican-American Ministries

Region 8 Wichita & Region 9 Garden City

United Methodist Mexican-American Ministries
224 N Taylor
Garden City , KS 67846
Phone: (620) 275-4970
Fax: (620) 275-7026

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Housing Opportunities for People With AIDS (HOPWA)

Kansas Care through Housing administers the HOPWA program. This program is funded through HUD (Housing and Urban Development). The program sponsor is The University of Kansas School of Medicine- Wichita Medical Practice Association, a non-profit organization. Funds are granted through the Kansas Department of Health and Environment (KDHE). All guidelines established are in compilance with HUD and HOPWA. Assistance is provided regardless of race, religion, color, sex, sexual preference, disability, veteran's status, national origin, or ancestry.

Detailed information can be found on the following printable PDF brochure:

All housing resources can be accessed through the medical case management sites listed above.


Other Resources

The CDC National AIDS Hotline can be reached by calling:
1-800-342-AIDS (2537) or
1-800-342-SIDA (7532) for Spanish

Links:

For other care needs not addressed by the information on this site, call the Kansas STI/HIV Section at 785-296-6174.

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