Care & Support Services - The Ryan White Part B Program
The Ryan White HIV/AIDS Treatment Extension Act of 2009 (Ryan White Program) is administered by the federal HIV/AIDS Bureau, Health Resources and Services Administration (HRSA), Department of Health and Human Services. The intent of the program is to improve the quality, availability, and organization of health care and support services for individuals and families with HIV infection. Part B funding is received by the state of Iowa and is administered by the Iowa Department of Public Health, Bureau of HIV, STD and Hepatitis.
The mission of the Iowa Ryan White Part B Program is to meet the health care needs of persons living with HIV disease by funding primary health care and support services to get people into primary medical care and help them stay in care. This includes providing direct access to life-saving medications through the ADAP. The intention of the programs is to reduce the use of more costly inpatient and urgent care, increase access to care for under served populations, improve quality of life for those affected by the epidemic, and decrease transmission of HIV from infected people. HIV care-related services such as medical and non-medical case management, oral health care, medical nutrition therapy, mental health services and substance abuse outpatient care may be supported in communities through Ryan White Part B funds.
Consumer Needs Assessment (CNA)
In 2019, the IDPH administered its fifth Consumer Needs Assessment (CNA) survey following those completed in 2005, 2008, 2011 and 2016. The purpose of this survey was to reach a representative proportion of people diagnosed and living with HIV in Iowa to answer the following questions in order to improve care and prevention services across the state:
- What are the HIV care and prevention services people diagnosed and living with HIV in Iowa need?
- What are the barriers to accessing those services?
- What are the experiences of people diagnosed and living with HIV in Iowa, including stigma, social determinants of health, and childhood trauma?
- How do service needs, gaps, and barriers vary by sub-populations of people diagnosed and living with HIV in Iowa?
- How do health and wellness vary by sub-populations of people diagnosed and living with HIV in Iowa, and how does it compare to Iowa’s overall population, as measured by statewide data?
The Consumer Needs Assessment results are displayed as fact sheets that make up the full report. The fact sheets may be used and distributed individually, or together in the report.
Twelve agencies throughout Iowa offer case management, transportation to and from doctor's appointments, assistance with medical and dental bills, and assistance with substance abuse and mental health treatment. Case managers assist low-income clients manage their medical care. This includes working with them to make and keep appointments, manage other aspects of their lives, and achieve a very high adherence to their medications. Adherence is essential to help avoid developing resistance to medications and to optimize health outcomes.
Medical HIV Case Management
Medical case managers help individuals living with HIV access primary medical care and life-saving medications, identify and remove barriers to medical care, and ensure adherence to a prescribed treatment plan.
Medical HIV Case Management is a range of client centered services that ensure timely and coordinated access to primary medical care, medications, and other support services, including treatment adherence, for HIV-positive individuals. Primary activities link a person to primary medical care or services. Secondary activities may be needed for HIV-positive individuals to achieve their medical outcomes and must have a direct relationship to an individual's HIV clinical outcomes.
AIDS Drug Assistance Program (ADAP)
The AIDS Drug Assistance Program (ADAP) provides free medications for the treatment of HIV/AIDS and opportunistic infections. The drugs provided through ADAP can help people with HIV/AIDS to live longer and treat the symptoms of HIV infection. ADAP is the payer of last resort, but can help people who are not fully covered by other payers under certain circumstances. Please contact a case manager in your area or the state ADAP Office for further information. A centralized pharmacy mails medications to persons enrolled in ADAP.
Rural Outreach Liaisons (ROLs)
There are seven Rural Outreach Liaisons around the state of Iowa. The ROLs work to build relationships with public health, health facilities and systems, and other key partners and stakeholders to ensure that the issues unique to Iowans with HIV are understood, and that relevant strategies are implemented to improve health outcomes for people with HIV in each region.
|Holly Hanson, Program Manager
|Megan Guthrie, Client Services Coordinator
|Casey Ward, Client Services Specialist
|Meredith Heckmann, ADAP Coordinator
|Roxanna Ferreyro, Benefits & Enrollment Specialist
|Katie Herting, Quality Coordinator
|Brittany Kuehl, Benefits & Enrollment Specialist