Ryan White 2012 Grantee Meeting

All across America, states are submitting various applications to the Centers for Medicare and Medicaid Services (CMS) to gain approval to begin the enrollment of the Medicaid population into various Medicaid Managed Care Programs (MCOs). Enrollment into MCOs can potentially increase access to health care services, enhance the quality of services provided, and reduce health care fragmentation, thereby leading to stronger care coordination. For years, States have developed this model of health care delivery for their healthy populations, but what about the population of individuals living with a chronic disease, such as HIV/AIDS? States are beginning to submit various applications to CMS to enroll PLWA into developed MCO. In this presentation, grantees will discuss the challenges to and accomplishments of Ryan White-funded organizations to prepare people living with HIV for Managed Care enrollment.

Learning Objectives:

• This session will describe the procedures to become a network provider of HIV-related services under a managed care network.
• Development of procedures to educate current organizations medical, non-medical providers, and clients on managed care enrollement will be reviwed.
• The session will review the process of working with local, county, and State officials and the organization to ensure smooth transitions for HIV/AIDS clients.