Part D: Continued
Family-Centered Approaches (continued)
To that end, Part D programs consider the entire family their client, helping all family members weave together a network of medical care and support services to address their health and social needs. At the heart of the program from the beginning, the commitment to a family-centered approach to care has deepened as the epidemic has matured. Key to the success of this care model is active consumer involvement and collaboration between consumers and providers. To meet the needs of their families, Part D programs usually contract with a network of providers, often subcontracting services ranging from medical care and case management to child care and transportation.5
New Emphasis on HIV-Positive Youth
In 1999, in response to the alarming growth in the number of HIV-infected youth being identified, a Youth Initiative was added to Title IV. It supports 17 youth-specific programs. Currently, 73 Part D programs in 34 States, the District of Columbia, Puerto Rico, and the Virgin Islands, serve more than 80,000 clients, 86 percent of whom are racial minorities.14 The 2006 reauthorization placed a 10-percent cap on administrative costs but did not require Part D grantees to spend at least 75 percent of their funds on core medical services, as required of the other major service delivery components of the Ryan White Program.
PART D: HISTORICAL HIGHLIGHTS
1988 - AIDS Demonstration Projects include $5 million for projects addressing pediatric AIDS cases.
1990 - The Ryan White CARE Act includes demonstration grants for clinical research on HIV therapies and coordination of care and services for HIV-positive women, children, and families.
1996 - The Ryan White CARE Act is reauthorized, and Title IV becomes a mainstay in the legislation.
1999 - HRSA’s HIV/AIDS Bureau funds an initiative in response to the growth in the number of HIV-infected youth.
Today - Part D serves more than 53,000 HIV-affected women, children, youth, and families.