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Part D - Services for Women, Infants, Children, Youth & Their Families

Ryan White HIV/AIDS Program Part D grantees provide family-centered primary medical care involving outpatient or ambulatory care (directly, through contracts or through memoranda of understanding) for women, infants, children, and youth with HIV/AIDS. Part D funds the following services:

• Family-centered primary and specialty medical care
• Support services

Eligibility

The following organizations may apply for funding:

Public or private nonprofit entities that provide directly or through contracts or through memoranda of understanding primary medical care for HIV-positive women, infants, children, and youth.

Organizations may include State and local governments, their agencies, and Indian Tribes or tribal organizations with or without Federal recognition.

Faith-based and community-based organizations.

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Funding Considerations  

By law, no more than 10 percent of a Federal Part D budget can be allocated to administrative costs.

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Services and Implementation

The Part D Program divides the allowable costs among 3 Part D Cost Categories. These categories are Service Delivery Costs, Clinical Quality Management Costs, and Administrative Costs.

Service Delivery Costs are those costs associated with providing family-centered care which includes access to primary medical care and support services for HIV-infected women, infants, children, and youth. Service Related Costs may include:

• Salaried personnel, contracted personnel or visit fees associated with the provision of primary medical care, specialty and subspecialty care, referrals for health and support services and adherence monitoring/education services. Types of providers typically included under service related are OB/GYN physicians, mid-level providers, nurses, pharmacists, dentists, dental hygienists, radiologists, lab technicians, dermatologists, medical assistants, intake receptionists, nutritionists, behavioral health/substance abuse service professionals, referral coordinators, medical and family-centered case managers, specialists and sub-specialists.
• Lab, x-ray, and other diagnostic tests
• Medical/dental equipment and supplies
• Family-centered care such as childcare and family advocacy
• Outreach to recruit and retain women, infants, children, and youth with HIV, or at-risk of contracting HIV.
• Services associated with the provision of information and education on opportunities to participate in HIV/AIDS-related clinical research
• Electronic Medical Records
• Patient education, in conjunction with medical care
• Transportation for clinical care provider staff to provide care
• Patient advocates to maintain access to care
• Patient transportation to medical appointments 
• Translation services, including interpretation services for deaf persons

Clinical Quality Management Costs are those costs required to maintain a clinical quality management (CQM) program. Examples include:

• Continuous Quality Improvement (CQI) activities
• Clinical quality management coordination
• Data collection for clinical quality management purposes
• Consumer Involvement to improve services
• Staff training/technical assistance (including travel and registration) to improve services -this includes the Annual Clinical Update and the every other year All Grantee Meeting
• Participation in Statewide Coordinated Statement of Need process and local planning bodies and other local meetings

Administrative Costs are those costs not directly associated with service provision. Examples of Administrative costs are as follows:

• Routine grant administration and monitoring activities, including the receipt and disbursal of program funds; administrative staff (executive and clerical); accounting and billing functions; preparation of routine programmatic and financial reports; and compliance with grant conditions and audit requirements.
• Contracts for services awarded as part of the grant - such as development of RFPs, review of proposals, and monitoring contracts through onsite visits
• Costs which could qualify as either indirect or direct costs but are charged as direct costs, such as: rent, occupancy, utilities, computer hardware and software (unrelated to electronic medical records or CQM), telecommunications (telephones, toll-free lines, cell phones, pagers, fax, internet), and postage
• Liability insurance
• Office supplies
• Audits
• Payroll-Accounting services

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Grantees

Grantees are organizations seeking to enhance their response to the HIV/AIDS epidemic in their area through the provision of family-centered primary medical care and support services to women, infants, children, and youth with HIV/AIDS when payments for such services are unavailable from other sources. Grantees must educate clients about research and research opportunities and inform all clients about the benefits of participation and how to enroll in studies.
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