| HIV Services
The mission of the HIV/STD/Hepatitis C Section of the Arkansas Department Health, in collaboration with community partners, is to prevent, treat and provide access to quality care, control and monitor the spread of HIV and other sexually transmitted diseases to protect the health of the public and all Arkansans.
-- In pursuit of this mission we will work to:
- Improve the public’s understanding of HIV and all Sexually Transmitted Diseases.
- Eradicate stigma, discrimination and health disparities surrounding HIV and all Sexually Transmitted Diseases.
- Strengthen systems of STD treatment and HIV care.
- Advocate for public policy to alleviate the human and economic costs of HIV and all Sexually Transmitted Diseases.
Target Population: The HIV Services Program serves low-income individuals infected with HIV/AIDS.
Ryan White Comprehensive AIDS Resources Emergency (CARE) Act
The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 (Public Law 101-381) provides funding to states and other public or private nonprofit entities. The funding is to develop, organize, coordinate, and operate more effective and cost-efficient systems for the delivery of essential health care and support services to medically underserved individuals and families affected by HIV. The HIV/AIDS Bureau of the Health Resources and Services Administration (HRSA) is the largest single source, next to the Medicaid and Medicare programs, of federal funding for HIV/AIDS care for low-income, uninsured, and underinsured individuals.
The Ryan White HIV/AIDS Treatment Modernization Act of 2006 is the most recent federal legislation impacting the program. The Act provides Arkansas with additional funding and flexibility to respond effectively to the changing epidemic. The new law changes how Ryan White funds can be used, with an emphasis on providing life-saving and life-extending services for people living with HIV/AIDS. The key change affecting Arkansas’ Ryan White Program is that at least 75% of the grant funds must be spent on “core medical services.”
Description of Services
The HIV Services Program funds a variety of services in an effort to help the client receive health and wellness care. The purpose is to assist clients in accessing resources necessary to meet the challenges of living with HIV/AIDS. The following services are provided based on the client’s self-identified, assessed needs, and available resources:
Core Medical Services:
Outpatient/Ambulatory medical care (health services) is the provision of professional diagnostic and therapeutic services rendered by a physician, physician's assistant, clinical nurse specialist, or nurse practitioner in an outpatient setting. Settings include clinics, medical offices, and mobile vans where clients generally do not stay overnight. Emergency room services are not outpatient settings. Services includes diagnostic testing, early intervention and risk assessment, preventive care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, education and counseling on health issues, well-baby care, continuing care and management of chronic conditions, and referral to and provision of specialty care (includes all medical subspecialties). Primary medical care for the treatment of HIV infection includes the provision of care that is consistent with the Public Health Service’s guidelines. Such care must include access to antiretroviral and other drug therapies, including prophylaxis and treatment of opportunistic infections and combination antiretroviral therapies.
Laboratory Services are professional analytical services ordered and provided by or under the direction of a physician or other licensed practitioner. Lab services must be provided by a laboratory certified under the Clinical Laboratory Improvement Amendments (CLIA) by the Centers for Medicaid and Medicare.
AIDS Drug Assistance Program (ADAP treatments) is a State-administered program authorized under Part B of the Ryan White Program that provides FDA-approved medications to low-income individuals with HIV disease who have limited or no coverage from private insurance, Medicaid, or Medicare. Medications are only covered if they are included on the ADAP Formulary, and the medications must be dispensed through Arkansas’ ADAP-approved pharmacy, Healthcare Pharmacy.
Health Insurance Premium and Cost Sharing Assistance is the provision of financial assistance for eligible individuals living with HIV to maintain a continuity of health insurance or to receive medical benefits under a health insurance program. This includes premium payments, risk pools, co-payments, and deductibles.
Mental health services are psychological and psychiatric treatment and counseling services offered to individuals with a diagnosed mental illness, conducted in a group or individual setting, and provided by a mental health professional licensed or authorized within the State to render such services. This typically includes psychiatrists, psychologists, and licensed clinical social workers.
Medical nutrition therapy is provided by a licensed registered dietitian outside of a primary care visit and includes the provision of nutritional supplements. Medical nutrition therapy provided by someone other than a licensed/registered dietitian should be recorded under psychosocial support services.
Substance abuse services outpatient is the provision of medical or other treatment and/or counseling to address substance abuse problems (i.e., alcohol and/or legal and illegal drugs) in an outpatient setting, rendered by a physician or under the supervision of a physician, or by other qualified personnel.
Oral Health Care Services may include diagnostic preventive, and therapeutic services provided by general dental practitioners, dental specialists, dental hygienists and auxiliaries, and other trained primary care providers. .
- Case Management (Non-Medical) includes the provision of advice and assistance in obtaining medical, social, community, legal, financial, and other needed services. Non-medical case management does not involve coordination and follow-up of medical treatments.
- Food bank/home-delivered meals include the provision of actual food or meals. It does not include finances to purchase food or meals. The provision of essential household supplies such as hygiene items and household cleaning supplies should be included in this item. Includes vouchers to purchase food.
- Health education/risk reduction is the provision of services that educate clients with HIV about HIV transmission and how to reduce the risk of HIV transmission. It includes the provision of information; including information dissemination about medical and psychosocial support services and counseling to help clients with HIV improve their health status.
- Linguistics services include the provision of interpretation and translation services.
- Medical transportation services include conveyance services provided, directly or through voucher, to a client so that he or she may access health care services.
- Outreach services are programs that have as their principal purpose identification of people with unknown HIV disease or those who know their status so that they may become aware of, and may be enrolled in care and treatment services (i.e., case finding), not HIV counseling and testing nor HIV prevention education. These services may target high-risk communities or individuals. Outreach programs must be planned and delivered in coordination with local HIV prevention outreach programs to avoid duplication of effort; be targeted to populations known through local epidemiologic data to be at disproportionate risk for HIV infection; be conducted at times and in places where there is a high probability that individuals with HIV infection will be reached; and be designed with quantified program reporting that will accommodate local effectiveness evaluation.
- Psychosocial support services are the provision of support and counseling activities, child abuse and neglect counseling, HIV support groups, pastoral care, caregiver support, and bereavement counseling. Includes nutrition counseling provided by a non-registered dietitian but excludes the provision of nutritional supplements.
- Substance Abuse Services (residential) is the provision of treatment to address substance abuse problems (including alcohol and/or legal and illegal drugs) in a residential health service setting (short-term).
To apply for services, the potential client should contact the Arkansas Ryan White Part B Service Access Center that serves the county where he/she resides. A case manager will answer questions and provide detailed information about services.
When applying for Ryan White or ADAP services, the potential client must provide the following documentation to the case manager:
- Photo ID
- Proof of Arkansas residency
- Proof of income
- HIV positive status by approved lab test
- Income at or below 200% of the Federal Poverty Level
- Proof of Medicaid denial less than ninety days old OR proof of health insurance (private, VA, Medicare, or Medicaid)
2011/2012 HHS Poverty Guidelines
For all states (except Alaska and Hawaii) and for the District of Columbia
Size of family unit
|100% of Poverty
||110% of Poverty
||125% of Poverty
||150% of Poverty
||175% of Poverty
||185% of Poverty
||200% of Poverty
Conditions of Services
- All services must be HIV-related
- All services subject to fund availability
- Client must have monthly contact with a case manager
- Client must comply with care plans
- Client cannot receive the same services from Medicare or Medicaid
- Health insurance deductibles and co-payments are covered in most cases
- Services not covered by health insurance may be covered
- Payment for services that require preauthorization is not guaranteed
- Reimbursement for services is not paid to the client directly
Budget by Source
Federal FY09: $7,419,297
Healthy People 2010 Objectives Addressed
- 13.1-6 HIV/AIDS: Reduce annual incidence of diagnosed HIV/AIDS cases to no more than 12 per 100,000 population.
- 13.1-6 HIV/AIDS: Reduce annual incidence of diagnosed HIV/AIDS cases in males to no more than 22 per 100,000 population.
- 13.1-6 HIV/AIDS: Reduce annual incidence of diagnosed HIV/AIDS cases in females to no more than 2 per 100,000 population.
- 13.1-6 HIV: Prevent HIV infection and its related illness and death.