PART C - Early Intervention Services

• Federally qualified health centers as described in Title XIX, Section 1905 of the Social Security Act;
• Family planning agencies under Section 1001 of the PHS Act, other than States;
• Comprehensive Hemophilia Diagnostic and Treatment Centers;
• Rural Health Clinics;
• Health facilities operated by or under contract with the Indian Health Service;
• Community-based organizations, clinics, hospitals, and other health facilities that provide early intervention services to those persons infected with HIV/AIDS through intravenous drug use; and
• Nonprofit private entities that currently provide comprehensive primary care services to populations at risk of HIV/AIDS, including faith-based and community-based organizations.

Early Intervention Services Costs are costs associated with the direct provision of medical care and make up at least 50 percent of a grantee budget. These services may include:

• Primary care
• Laboratory, x-ray, and other diagnostic tests
• Medical and dental equipment and supplies
• Medical case management
• Electronic medical records
• Patient education in conjunction with medical care
• Transportation for clinical care providers to provide care
• Periodic medical evaluations
• Other clinical and diagnostic services regarding HIV/AIDS

Core Medical Services Costs include those listed above as well as HIV counseling. They also include the following services, which have historically been paid by Part A or B (Titles I or II) and only through Part C (Title III) with justification.

• AIDS Drug Assistance Program
• Health insurance premium and cost-sharing assistance for low-income individuals
• Home health care
• Hospice services
• Home and community-based health services as defined under
  Part B.

Clinical Quality Management Costs are costs required to maintain a clinical quality management program; no more than 5 percent of the grant may be spent on clinical quality management. Examples include

• Continuous Quality Improvement (CQI) activities;
• Clinical quality management coordination;
• Data collection for clinical quality management purposes;
• Consumer involvement to improve services; and

Staff training and technical assistance (including travel and registration) to improve services, including the annual clinical update and biennial Ryan White HIV/AIDS Program All-Grantee Meeting and local travel to meetings not directly related to patient care.

Support Services Costs are costs for services that patients need to achieve their medical outcomes. Examples include

• Patient transportation to medical appointments;
• Staff travel to provide support services;
• Outreach to identify people with or at risk for HIV disease, to educate them about the benefits of early intervention and link them into primary care;
• Translation services, including interpretation services for deaf persons;
• Patient education materials for general use;
• Participation in the Statewide Coordinated Statement of Need process;
  
• Patient advocates to maintain access to care; and
• Respite care (historically paid by Parts A or B but not Part C, and only provided by Part C with justification).

Administrative Costs are those not directly associated with service provision. By law, no more than 10 percent of the EIS budget can be allocated to administrative costs. Examples include the following:

• Indirect costs, which are allowed only if the applicant has a negotiated indirect cost rate approved by a recognized Federal agency. Indirect costs are those costs incurred by the organization that are not readily identifiable with a particular project or program but are considered necessary to the operation of the organization and performance of its programs. All indirect costs are considered administrative for the Part C EIS program and, therefore, are subject to the 10 percent limitation on administrative expenses.
• Rent, utilities, and other facility support costs
• Personnel costs and fringe benefits of staff responsible for project management (such as the project director and program coordinator); non-CQI program evaluation; non-CQI data collection and reporting; supervision; and other administrative, fiscal, or clerical duties.
• Telecommunications: telephone, fax, pager, and Internet
• Postage
• Liability insurance
• Office supplies
• Audits
• Payroll and accounting services
• Computer hardware and software not directly related to patient care
• Program evaluation and data collection related to evaluation.

The FY 2008 appropriation was $198.754 million.