Joshua Rodriguez, Broward Department of Health, reported on changes in the AIDS Insurance Continuation Program (AICP), and on the transition of AIDS Drug Assistance Program (ADAP) clients to the Affordable Care Act (ACA) marketplace plans. As of March 31, 2015, the Health Council of South Florida will cease to administer AICP.
Local ADAP offices will administer AICP thereafter. The Health Council will process payments through April 30. AICP clients should contact their local ADAP office by March 31 to begin this transition. If anyone has questions, they should call the Health Council of South Florida, 1-855-659-7072 or their local ADAP office. A total of 399 ADAP clients have successfully moved from ADAP to ACA marketplace plans.
According to Joey Wynn, Chair of SFAN, ADAP clients have received confusing messages about the eligibility to use pharmacies other than CVS, the Pharmacy Benefits Manager for ADAP. Jimmy R, Lleque of the ADAP Unit issued a statement on February 16, 2015 to clarify the issue of pharmacy choice. ADAP will pay pharmacies other than CVS to fill prescriptions, but using other pharmacies makes monitoring client use difficult. CVS’s computerized system automatically provides this monitoring. If an ADAP client wants to use a pharmacy other than CVS, they should contact their local ADAP office to work out an alternative system. If someone tells an ADAP/AICP client that they must use CVS for prescriptions, they should call (954) 467-4700 ext. 5669.
Janet Vargas, Broward County Ryan White Care, reported on the Health Insurance Continuation Program (HICP). Unlike AICP, HICP serves HIV infected people eligible for an ACA plan, but with incomes too high to qualify for the subsidies. HICP provides these clients with funds to pay for an ACA marketplace plan. It has moved 175 RWC clients into ACA marketplace plans.
Vargas also reported on a TV ad campaign to encourage out-of-treatment HIV positives to return to HIV treatment. Scripted “infomercials” and banner messages began to run the week of March 9, 2015. While many people enter care after testing positive, a large number drop out (see chart “Number of Floridians in 2013 Missing from HIV Care at Each Point in the Continuum of Care”). If you have dropped out of HIV care, but would like to return to HIV care, call (954) 357-9797.
Wynn announced that the ADAP Advocacy Association will host an ADAP Regional Summit on April 10, 2015 in Atlanta, GA. This conference will focus on current issues affecting ADAP.
For more information, please visit
www.adapadvocacyassociation.org/events.html#rs15 and look for “ADAP Advocacy Association Regional Summit – Atlanta.” This Summit has no registration fee but pre-registration is required.
Wynn also reported that the Patient Access Network (PAN) Foundation has expanded its eligibility criteria for financial assistance for PrEP. Patients need to meet the following eligibility criteria:
1. Be HIV uninfected but at high risk of becoming infected
2. Have some form of primary insurance
3. Reside and receive treatment in the U.S., (citizenship not required); and
4. Have a household income less than 500 percent of U.S. poverty level, (about $58, 850 for single person).
For those eligible and enrolled, PAN fund will cover out-of-pocket costs associated with PrEP. For more information, please visit PanFoundation.org/hiv-treatment-and-prevention.
Next SFAN Meeting: Friday, April 3 at 10:00 a.m., at the Holy Cross Healthplex, 1000 NE 56th Street, Ft. Lauderdale, FL 33334. Newcomers are encouraged to attend.
The South Florida AIDS Network (SFAN) functions as the networking/advisory body for the Ryan White Care (RWC), Part B grant in Broward County. Its monthly meetings are open to the public.