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ADAP Watch Feb 2013

ADAP Watch Feb 2013

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Published by housingworks
ADAP Watch Feb 2013
ADAP Watch Feb 2013

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Published by: housingworks on Feb 20, 2013
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02/20/2013

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As of February 14, 2013, there were 63 individuals on AIDS Drug Assistance Program (ADAP) waitinglists in four (4) states.
Sixteen ADAPs, including four with current waiting lists, have had cost-containment measures in place since April 1, 2012 (reported as of February 6, 2013). In addition, oneADAP reported considering implementing new or additional cost-containment measures by the end of ADAP’s current fiscal year (March 31, 2013). One ADAP reported being able to eliminate or improveprevious cost-containment measures in the last quarter.
ADAPs with Current or Anticipated Cost-Containment Measures, Including Waiting Lists,as of February 6, 2013Factors Leading to Consider or Implementation of Cost-containment Measures
 ADAPs reported the following factors contributing to consideration or implementation of costcontainment measures:
x
 
Increased clients/demand due to job loss/unemployment (11 ADAPs)
x
 
Increased HIV testing leading to higher client enrollment (9ADAPs)
x
 
Reduced or insufficient federal ADAP funding (8 ADAPs)
 
x
 
Escalating drug costs (7 ADAPs)
x
 
Increased utilization from already enrolled clients (6 ADAPs)
February 19, 2013
 
 
ADAPs with Waiting Lists(63 individuals in 4 states, as of February 14, 2013)StateNumber of Individualson ADAP Waiting ListPercent of the TotalADAP Waiting ListIncrease/Decreasefrom PreviousReporting PeriodDate WaitingList BeganFlorida
0 0% 0 June 2010
Idaho
26 41% 5 October 2012
Louisiana*
0 0% 0 June 2010
South Dakota
37 59% 7 August 2012
*Louisiana has a capped enrollment on their program. This number represents their current unmet need.
Waiting List Client Demographics:
 
Access to Medications:
 All four ADAPs with waiting lists confirm that case management services assistclients in obtaining medications through either pharmaceutical company patient assistance programs(PAPs) (3 ADAPs) or Welvista (1 ADAP) while clients are on the waiting list. Case management servicesare provided to ADAP waiting list clients through Part B (1 ADAP) and other agencies, including otherParts of Ryan White (3 ADAPs).
Waiting List Organization:
 Waiting list clients are prioritized by one of two models:
x
 
First-come, first-served model:
placing individuals on the waiting list in order of receipt of acompleted application and eligibility confirmation (3 ADAPs).
x
 
Medical criteria model:
based on hierarchical medical criteria based on recommendations bythe ADAP Advisory Committee (1 ADAP).
19%54%17%2%2%6%0%10%20%30%40%50%60%70%80%90%100%
ADAP waiting list clients, by Race/Ethnicity, as of February 6, 2013
Non-hispanic Black/African American (19%)Non-hispanic White (54%)Hispanic (17%)Asian (2%)Native Hawaiian/Pacific Islander (2%)American Indian/Alaskan Native (6%)Multi-racial (0%)Other (0%)Unknown (0%)
79%21%0%10%20%30%40%50%60%70%80%90%100%
ADAP waiting list clients, by Gender, as of February 6, 2013
Male (79%)Female (21%)Transgender (0%)Unknown (0%)

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