Topic: Assessing Health Plans for Ryan White Clients & ADAP
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Resources for Ryan White programs in assessing Qualified Health Plans (QHPs) in relation to the needs of people living with HIV/AIDS.Webinars and Training
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NASTADOctober 2015
Webinar on ADAPs and purchasing of health coverage for eligible individuals, including cost considerations.
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NASTADJune 2013
Overview of ADAPs ability to purchase/continue insurance.
Tools and Job Aids
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HealthHIVMarch 2016
Assessment of Medicaid coverage of HIV/AIDS prevention, screening, and care services (e.g., testing, counseling, PrEP, condoms) in ten selected states.
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NASTADAugust 2015
ACA federal tax filing requirements for premium tax credit reconciliation and exemptions from the penalty for not having insurance coverage, with discussion of how these provisions may interact with HIV/AIDS and viral hepatitis programs.
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NASTADJuly 2014
MS Excel tool for ADAPs to assess the cost-effectiveness of providing insurance in comparison to full-cost medications for ADAP clients.
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NASTADJune 2014
Tools to assess case management coverage offered by qualified health plans (QHPs), traditional Medicaid, and the Ryan White HV/AIDS Program.
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NASTADOctober 2013
Questions and considerations for Ryan White grantees to use in determining which Marketplace insurance plans provide adequate and affordable coverage for HIV/AIDS care.
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Center for Health Law and Policy Innovation of Harvard Law School and the Treatment Access Expansion ProjectSeptember 2013
Tool for use in assessing various Marketplace Qualified Health Plans (QHPs) to determine the best coverage options.
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HIV Health ReformJune 2013
Tool to screen clients for enrollment in the marketplace.
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Positive Outcomes and The George Washington UniversityMay 2013
Questions for a health provider to address when marketing its services to health insurance plans, with the goal of being added to the plan’s provider network.
Reports and Best Practices
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NASTADApril 2016
Robust set of resources for Ryan White HIV/AIDS Program Part B programs and ADAPs to assist in their benefits management work
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National Academy for State Health PolicyNovember 2013
Insights from select Medicaid and Ryan White grantees on cross-program coordination to better serve people living with HIV/AIDS, who rely heavily on both programs for their HIV/AIDS services.
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NASTADOctober 2013
Review of state proposals to expand ACA coverage by purchasing insurance coverage to those up to 138% of the federal poverty level instead of expanding Medicaid eligibility.
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San Francisco HIV Health Care Reform Task Force and Harder+Company Community ResearchJuly 2013
Recommendations from the San Francisco Ryan White Part A planning body on transitioning people living with HIV/AIDS to Affordable Care Act coverage.
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NASTADJuly 2013
How EHB rules apply to insurance plans for services particularly important to people living with HIV/AIDS and viral hepatitis.
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NASTADJuly 2013
Overview of Affordable Care Act premium tax credits and cost-sharing subsidies and how they may interact with AIDS Drug Assistance Program (ADAP) insurance assistance programs.
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HIVMAMay 2013
Questions for HIV providers to pose to Medicaid programs and health insurers to ensure that medical needs of people living with HIV/AIDS are being met.
Websites
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ACE TA CenterJuly 2015
Links to resources that were available in July of 2015 on state ADAP program websites. Where available we have provided links to the following information about the state program: Main page, eligibility information, formulary, financial assistance, and other key information.
