Georgia Ryan White Part BADAPHICP Programmatic Updates Presented

Georgia Ryan White Part B/ADAP/HICP Programmatic Updates Presented to: GPACC Presented by: Marisol Cruz, DBA, MS, HIV Care Manager GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Agenda • FY 2020 -21 Ryan White Part B /ADAP Federal Funds • Number of Clients Served • RW Part B clinics • Ryan White Part B & ADAP Client Reach Snapshot CY 2020 • Housing & VL suppress information • ADAP/HICP Updates GEORGIA DEPARTME NT OF PUBLIC HE ALTH

FY 2020 -21 Ryan White Part B Allocation $63, 839, 335 $ 623 479 $ 177 164 ADAP = 60% $ 10 020 953 Part B Base = 23% $ 14 793 780 $ 38 223 959 ADAP Supplemental = 16% GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Core Medical and Support Service Funding Distribution in GA Ryan White Core Medical and Support Service Funding Received in GA, 2020 (excludes ADAP) 3% 19% 50% 28% Part A Part B Part C Part D GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Ryan White Part B Client Reach Snapshot CY 2020 Race Served 1% Risk Categories 3% 2%1% 1% 5% 22% 72% Black White Hispanic Other 41% Heterosexual MSM 52% IDU Other Perinatal MDM/IDU GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Housing Status and VL for Ryan White Part B Clients CY 2020 120% 100% 96% 82% 80% 70% 62% 60% 40% 2% 2% 0% Stable Temporary Housing Status Unstable VL GEORGIA DEPARTME NT OF PUBLIC HE ALTH

AIDS Drug Assistance Program (ADAP) and Health Insurance Continuation Program (HICP) Overview Presented to: GPACC Presented by: Satin Francis, BS, ADAP/HICP Program Manager GEORGIA DEPARTME NT OF PUBLIC HE ALTH

AIDS Drug Assistance Program (ADAP) and Health Insurance Continuation Program (HICP) Update The Georgia AIDS Drug Assistance Program provides HIV/AIDS and Hep C medications to low-income individuals living with HIV disease, who have little or no coverage from private or third-party insurance GEORGIA DEPARTME NT OF PUBLIC HE ALTH

AIDS Drug Assistance Program (ADAP) and Health Insurance Continuation Program (HICP) Update The Georgia ADAP provides medications for the treatment of HIV/AIDS to eligible Georgia residents • There are 26 ADAP/HICP enrollment sites • The ADAP enrollment was 9, 003 as of January 31, 2021 • Currently serving 6, 341 ending January 31, 2021; (utilization rate was 70% as of January 31, 2021) GEORGIA DEPARTME NT OF PUBLIC HE ALTH

ADAP Client Reach Snapshot CY 2020 Race Served 9% Risk Categories 4%2% 2% 1% 1% 14% 32% 60% 75% Black White Hispanic Other MSM Heterosexual IDU Other Perinatal MDM/IDU GEORGIA DEPARTME NT OF PUBLIC HE ALTH

ADAP Client Distribution base on Residence CY 2020 30% Reside In EMA Reside Outside EMA 70% GEORGIA DEPARTME NT OF PUBLIC HE ALTH

ADAP/HICP Additional Updates. . . There are 70 medications on the formulary inclusive of all required classes There are 6 additional medications under Hep C Program • The Hep C enrollment was 155 as of January 2021 ADAP Contract Pharmacy (ACP) Network currently comprised of 25 pharmacies located throughout the state including 7 statewide delivery pharmacies. • There are (5) new ACP’s: Walgreen’s Dekalb & Albany, AHF Lithonia, PIHC Decatur, Covenant Health Pharmacy (Grayson) • (4) New additional Statewide Delivery ACP’s: Walgreen’s Dekalb & Albany, AHF Lithonia, PIHC Decatur All ADAP clients currently receive their medication through the ACP GEORGIA DEPARTME NT OF PUBLIC HE ALTH

ADAP/HICP Additional Updates. . . The Health Insurance Continuation Program (HICP) assists eligible persons with active insurance policies who are unable to pay their health insurance premiums • The HICP enrollment was 2, 483 as of January 31, 2021 • Pays up to $1, 788 monthly premium GEORGIA DEPARTME NT OF PUBLIC HE ALTH

HICP Clients Served by Year Number of Clients Served 3000 2483 2500 2000 1635 1500 1229 1000 500 464 486 January 2015 January 2016 591 721 0 January 2017 January 2018 January 2019 January 2020 January 2021 Year GEORGIA DEPARTME NT OF PUBLIC HE ALTH

HICP Client Distribution based on Residence CY 2020 47% Reside In EMA 53% Reside Outside EMA GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Take This With You. . . • The Georgia Ryan White Part B completed the 340 B Recertification for FY 2021 • The Department of Health and Human Services (HHS) has opened Health. Care. gov for a Special Enrollment Period (SEP) being held from February 15 – May 15, 2021 • Governor Kemp signed the FY 2021 Amended Budget that included $15. 4 million for ADAP GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Thank You! Marisol Cruz, DBA, MS HIV Care Manager Phone: 404 -463 -2453 Email: Marisol. Cruz@dph. ga. gov Mirelys Ramos, MPH, CHES Assistant HIV Care Manager Phone: 404 -463 -1600 Email: Mirelys. Ramos@dph. ga. gov Satin D. Francis, BS ADAP/HICP Program Manager Phone: 404 -463 -0416 Email: Satin. Francis@dph. ga. gov GEORGIA DEPARTME NT OF PUBLIC HE ALTH