Ryan White 2012 Grantee Meeting

Beginning in 2010, the District of Columbia expanded Medicaid eligibility to include individuals with an income at or below 200% of the federal poverty level. Early expansion of Medicaid – in preparation for implementation of the Affordable Care Act – offers an opportunity to describe and discuss some of the challenges associated with expansion. The District of Columbia has deployed CARE Act Part A and Part B program funds in ways that coordinate with Medicaid reimbursement and permits implementation of a “whole program” approach. Based on that foundation, the District is developing a medical home model for people with HIV/AIDS, and anticipates that will be in place by 2014. Preliminary plans for the implementation of a medical home will be described, along with activities designed to ensure ongoing provision of crucial support services. Current and potential sources of federal and local funds for this effort will also be described.

Learning Objectives:

• Recognize the critical importance of effective fiscal coordination;
• Opportunities to leverage Medicaid and other public funding sources for services to people with HIV/AIDS;
• Strategic use of CARE Act service categories to create and sustain a medical home.