1. March 12, 2014 Steven R. Young, MSPH Director, Division of Metropolitan HIV/AIDS Programs Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Ryan White Part A Program Update 1

2. Agenda – Topics of Interest FY 2014 Awards All Grantee Meeting & Clinical Conference Comprehensive Planning – Timeline SPNS HIT Project ACA and “Vigorously Pursue” CMS – FAQ on 3 rd Party Payment ASPE Technical Expert Panel Meeting on Unmet Need Monitoring the Continuum of Care Salary Cap Other??? 2

3. FY 2014 Awards Partials Finals Conference Calls 3

4. AGM & Clinical Conference No meetings in 2014 Re-budget administrative funds Allowable meeting costs 4

5. Comprehensive Planning Feedback on 2012 plan Timeline Approach/Integration Moving Forward 5

6. SPNS HIT Project Overview of HRSA-14-057 Discussion 6

7. ACA and “Vigorously Pursue” Outreach & Enrollment of Potential Eligibles Standardized Operating Procedures Documentation Payer of Last Resort & the Safety Net 7

8. CMS – FAQ on 3 rd Party Payments Encourages but does not require acceptance of Ryan White payments Website: The FAQs can be found at http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and- FAQs/Downloads/third-party-payments-of-premiums-for- qualified-health-plans-in-the-marketplaces-2-7-14.pdf http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and- FAQs/Downloads/third-party-payments-of-premiums-for- qualified-health-plans-in-the-marketplaces-2-7-14.pdf 8

9. ASPE Technical Expert Meeting on Unmet Need Purpose/Intent Meeting Summary Future Contract Work Discussion 9

10. Monitoring the Continuum of Care HHS Measures Crosswalk of Ryan White service definitions and engagement activities Performance-based incentive contracting/models of care 10

11. HIV Measures: HHS Viral Load Suppression ART Mugavero M et al. Clin Infect Dis 2011; 52(Suppl 2): S238-S246. Retention in medical care Housing status Linkage to Medical Care HIV Positivity Late HIV Diagnosis 11

12. Salary Cap Limitations For FY 2014, the Consolidated Appropriations Act, 2014, Division H, § 203, Pub. L. 113-76 signed into law on January 17, 2014 includes a provision that states, “None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II.” The Executive Level II was increased by 1 percent from $179,700 to $181,500 by Executive Order 13655. This change in the salary limitation is effective for FY14 awards as outlined:  Awards issued between October 1, 2013 through January 16, 2014 (Executive Level II) $179,700  Awards issued between January 17, 2014 through September 30, 2014 (Executive Level II) $181,500 12

13. Other Open Discussion Call-in/Question Procedures 13

14. Discussion/Questions Contact Information: Steven R. Young, MSPH Director,Division of Metropolitan HIV/AIDS Programs HIV/AIDS Bureau, HRSA 5600 Fishers Lane Parklawn Building, Rm. 7A-55 Rockville, MD 20857 (301) 443-7136 (301) 443-5271 fax email: syoung@hrsa.gov http://careacttarget.orghttp://careacttarget.org - Ryan White Technical Assistance 14

15. 15 “Enhanced Communication” Webinar Series To suggest topics or volunteer your program’s best practices for a future webinar, contact: Luigi S. Procopio, Enhanced Communications Coordinator Email: LProcopio@HRSA.govLProcopio@HRSA.gov Phone: 301.443.0262