OAHS
Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Outpatient/Ambulatory Health Services |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To provide increased access to comprehensive outpatient medical care for eligible clients consistent with Public Health Service's guidelines. | | | | | |
| 1. Service Unit Definition: | 2. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Face to face clinic visit with Ryan White Part A-funded prescriber. | | | | | 0.00 |
Oral Health Care Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Oral Health Care |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To maintain and improve oral health for Persons Living with HIV/AIDS throughout New Haven/Fairfield Counties EMA. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Face to face oral health visit | | | | | 0.00 |
Health Insurance Assistance Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Health Insurance Premium & Cost Sharing Assistance |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: Provide health insurance premium and cost sharing assistance that provides a cost-effective alternative to ADAP. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Number of successful co-payments for insured patients for physician visits or HIV medications OR paid insurance premiums. | | | | | 0.00 |
Mental Health Services Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Mental Health Services |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To provide mental health services to eligible clients with a mental health diagnosis by a professional licensed or authorized within the State to render such services. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Face to face individual or group level treatment or counseling session by a Ryan White Part A-funded mental health provider | | | | | 0.00 |
Medical Case Management Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Medical Case Management |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To provide medical case management services to eligible clients to retain them in Outpatient Ambulatory Health Services and link with other psychosocial and supportive services. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Face to face office visit with a Part A-funded Medical Case Manager | | | | | 0.00 |
Substance Use Outpatient Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Substance Abuse Services - Outpatient |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Face to face individual or group level treatment or counseling session by a Ryan White Part A funded provider. | | | | | 0.00 |
Emergency Financial Assistance Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Emergency Financial Assistance |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To show improved and/or stabilized living situation. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Successfully completed application request. | | | | | 0.00 |
Food Bank-Home Delivered Meals Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Food Bank / Home Delivered Meals |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To improve nutritional status of persons living with HIV/AIDS. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| One meal/food voucher/filled pantry request. | | | | | 0.00 |
Housing Services Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Housing Services |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To maintain and increase housing options for Persons Living with HIV/AIDS throughout the New Haven/Fairfield Counties EMA. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Face to face visit with housing specialist or rental assistance payment, | | | | | 0.00 |
Medical Transportation Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Medical Transportation |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To increase access to core health care services. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| 1 one-way trip or medical transportation voucher. | | | | | 0.00 |
Substance Use Inpatient Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25 - 2/28/26 |
| Service Category Name: Substance Abuse Services - Inpatient |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic Asian Native American Pacific Islander Other | | | | |
| Service Category Goal: To provide residential substance abuse treatment services to eligible clients. | | | | | |
| 2. Service Unit Definition: | 3. Quantity: | | | | |
| Define the service unit to be provided | Number of people to be served | | Total Number of service units to be provided | | Allocation |
| Target | Actual | Target | Actual | |
| Inpatient admission or bed days. | | | | | 0.00 |
EIS - Black Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25-2/28/26 |
| Service Category Name: |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic | | |
| Service Category Goal: To link, and retain, newly diagnosed and out of care individuals with HIV medical services. | | | |
| 1. Service Unit Definition: | 2. Quantity: | | |
| Define the service unit to be provided | Number of people to be served | Number of service units to be provided | Allocation |
| Target | Target | |
| 1 face to face visit | | | 0.00 |
EIS - Hispanic Ryan White Part A Implementation Plan: Service Category Table
| Subrecipient Name: |
| Fiscal Year: 2025 |
| Budget Period: 3/1/25-2/28/26 |
| Service Category Name: |
| Race/Ethnicity (for MAI funded service only): | African American Hispanic | | |
| Service Category Goal: To link, and retain, newly diagnosed and out of care individuals with HIV medical services. | | | |
| 1. Service Unit Definition: | 2. Quantity: | | |
| Define the service unit to be provided | Number of people to be served | Number of service units to be provided | Allocation |
| Target | Target | |
| 1 face to face visit | | | 0.00 |
HAB Outcome Measures
| HAB Outcome Measures |
| HAB Core Measures: HIV Viral Load Suppression |
| HAB Core Measures: Prescription of HIV Antiretroviral Therapy |
| HAB Core Measures: HIV Medical Visit Frequency |
| HAB Core Measures: Gap in HIV Medical Visits |
| HAB Core Measures: Pneumocystis jiroveci Pneumonia (PCP) Prophylaxis |
| HHS Measure: HIV Postivity |
| HHS Measure: Retention in HIV Medical Care |
| HHS Measure: Late HIV Diagnosis |
| HHS Measure: Viral Load Suppression Among Persons in HIV Medical Care |
| HHS Measure: Housing Status |
| HHS Measure: Antiretroviral Therapy (ART) Among Persons in HIV Medical Care |
| HHS Measure: Linkage to HIV Medical Care |
| HAB ADAP Measures: ADAP: Application Determination |
| HAB ADAP Measures: ADAP: Eligibility Recertification |
| HAB ADAP Measures: ADAP: Formulary |
| HAB ADAP Measures: ADAP:Inappropriate Antiretroviral Regimen Components Resolved by ADAP |
| HAB Oral Care Measures: Oral Health Services: Dental and Medical History |
| HAB Oral Care Measures: Oral Health Services: Dental Treatment Plan |
| HAB Oral Care Measures: Oral Health Services: Oral Health Education |
| HAB Oral Care Measures: Oral Health Services: Periodontal Screening or Examination |
| HAB Oral Care Measures: Oral Health Services: Phase 1 Treatment Plan Completion |
| Modified HAB ADAP measures (i.e. clients enrolled in the LPAP) |
| HAB/ HHS Linked to Care Measure |
| HAB Systems-Level Measures: HIV Positivity |
| HAB Systems-Level Measures: Housing Status |
| HAB Systems-Level Measures: Linkage to HIV Medical Care |
| HAB Systems-Level Measures: Late HIV Diagnosis |
| HAB MCM Measures |
| HAB MCM Care Plan Measure: Medical Case Management: Care Plan |
| HAB MCM Care Plan Measure: Gap in HIV medical visits |
| HAB MCM Care Plan Measure: HIV Medical Visit Frequency |
| HAB MCM Measure: Medical Case Management: Care Plan |
| HAB MCM Measure: Gap in HIV medical visits |
| HAB MCM Measure: HIV Medical Visit Frequency |
| HHS Housing Measure |
| HAB Systems-Level Housing Measure |
| HAB Systems-Level Late Diagnosis Measure |
| HAB Systems- Level HIV test results |
| HHS Linkage to HIV Medical Care |
Service Categories & Units
| Service Category | Unit Definition |
| Outpatient Ambulatory Health Services | Face to face clinic visit with Ryan White Part A-funded prescriber. |
| Oral Health | Face to face oral health visit |
| Health Insurance Premium & Cost Sharing Assistance | Number of successful co-payments for insured patients for physician visits or HIV medications OR paid insurance premiums. |
| Mental Health | Face to face individual or group level treatment or counseling session by a Ryan White Part A-funded mental health provider |
| Medical Case Management | Face to face office visit with a Part A-funded Medical Case Manager |
| Substance Use - Outpatient | Face to face individual or group level treatment or counseling session by a Ryan White Part A funded provider. |
| Emergency Financial Assistance | Successfully completed application request. |
| Food Bank / Home Delivered Means | One meal/food voucher/filled pantry request. |
| Housing | Face to face visit with housing specialist or renatal assisatnce payment |
| Medical Transportation | 1 one-way trip or medical transportation voucher |
| Substance Use - Inpatient | Inpatient admission or bed days |