ACA Learning Modules Available as PDF Files on Target Center Website
These webpages provide an overview of ACA and outline activities for Ryan White grantees, planning bodies, and consumers to undertake in getting ready for implementation of ACA. The webpages also present various technical assistance and training resources to help Ryan White entities implement ACA. Categories include: Learn About Reform, Participate in the Marketplace Planning Process, Educate and Assist Your Clients, and Adjust Your Systems. The Learning Modules complement HRSA and HRSA/HAB webpages on ACA. To access the modules, click here.
New ACA Tools Available on Target Center Website
- Protecting the Safety Net Project
A compilation of materials compiled in 2012 to guide safety net providers in adapting to ACA, with attention to development of third party billing/reimbursement systems and organizational restructuring to open up opportunities for funding and reimbursement as a result of expansion of Medicaid and commercial insurance. Resources include assessment questions for agencies exploring change and options to consider. Resources were developed by MOSAICA/Emily Gantz McKay Consulting for a Washington, DC partnership of grant makers.
View this resource, click here.
- Tools for Identifying Uninsured/New Coverage Populations
As a result of ACA’s new insurance coverage options, Ryan White-funded agencies will be transitioning clients to Medicaid (in expansion states) and individual health insurance. These changes will have an influence on allocation of funds to various core and support service categories and premium/co-pay support for clients transitioning to new coverage. In planning for these changes, agencies will make extensive use of data they have on the insurance and income status of their clients.
Supplementary data sources are also available from a number of national resources, which have been compiled on the TARGET Center. The Kaiser Family Foundation website provides comprehensive data in its “State Health Facts” and an online tool, Mapping the Effects of the ACA’s Health Insurance Coverage Expansions, allows users to determine, by zip code, the number of uninsured and the number buying insurance on their own. Enroll America’s “Where are the Uninsured?” generates state maps, using a combination of Census and CMS data. In addition, state-specific modeling reports provide estimators on the transition of people living with HIV/AIDS to Medicaid or private health insurance. These reports were prepared by Harvard’s Treatment Access Expansion Project.
To view these resources, click here.
- NIATx Third-party Billing Guide
The guide outlines steps for substance abuse treatment agencies to increase their capacity to bill health insurance and Medicaid plans for their services as an increasing number of clients obtain public and private health insurance coverage under the ACA. While specific to substance abuse services, the guide outlines fundamentals to third party billing relevant to most programs. To view this resource, click here.
Ryan White and ACA Outreach, Enrollment and Benefits Counseling Table
This table from Ryan White HIV/AIDS Program (RWHAP) provides service categories, by Part, that support benefit, counseling, outreach education and enrollment activities of RWHAP clients into private health insurance plans through Marketplace and into Medicaid. To access this table, click here.
“Making ACA Private Insurance Work for People with HIV” Webinar Recording
This webinar provides information to help people with HIV prepare for the upcoming availability of subsidized private insurance plans, called Qualified Health Plans, through health insurance marketplaces, called Exchanges. Speakers are: Amy Killelea, NASTAD; Anne Donnelly, Project Inform; and Courtney Mulhern-Pearson, SF IADS Foundation. To access this recording, click here.
Pacific AIDS Education and Training Center “The Affordable Care Act: How to Address the Needs of HIV Clinics and Clinicians” by Steve O’Brien, MD webinar recording and slides from January, 28, 2013
Health Reform Watch from NASTAD
As part of our ongoing efforts to prepare health departments for Affordable Care Act (ACA) implementation, NASTAD has developed the newly re-launched newsletter, Health Reform Watch. The newsletter is for state and territorial health department staff and provides updates, analysis, and highlights on federal and state health reform activities. To access Health Reform Watch Click here.
Improving Accessing to HIV Care through Health Care Reform by Robert Greenwald, Andrea Weddle and Anne Donnelly Slide set
An Update on the ACA & HIV: Medicaid Health Homes click here.
State Integration Activities: Health Homes from Integrated Care Resource Center click here.
Health Care Reform: What Does It Mean For People with HIV? by Anne Donnelly at Project Inform