1. Transitioning Clients from ADAP to the VA Presented by: Lisa Daniel, MPA

2. Identifying the Need Conducted a Program Evaluation Identified areas where KADAP was not payer of last resort Found a significant number (approximately 10 percent) of clients were potentially eligible for VA health care benefits.

3. Determining Who is Eligible Recertification Application in Fall 2000 asked “Are you a Veteran?” 35 applicants marked “Yes” Mailed letter and form with more detailed questions Are you a Veteran? Did you serve on active duty for over 180 days with the Army, Navy, Air Force, Marines, Coast Guard, or activated National Guard or Reserves? Did you receive an Honorable, General or Other than Honorable Discharge?

4. Determining Who is Eligible 18 of 35 applicants were eligible Yielded a savings of $11,500 per month To date – transferred 30-40 clients Clients we didn’t catch initially Waiting list clients

5. Contacting VA Hospitals Contacted VA hospitals in Kentucky Identified a single point of contact at each hospital Clients were instructed to contact the nearest VA hospital for an appointment

6. “Federal Benefits for Veterans and Dependents” A book published each year by VA Provides information on services offered by VA (not just medical services) To qualify for medical services, a person must have Honorable, general or other than honorable discharge Served 180 days (this varies depending on time of service) Copies of DD-214 Sliding Fee Scale applies

7. Each VA Hospital is Different Some have case managers specifically for PLWHAs Some require approval for benefits before an appointment is scheduled Some will allow the clients to retain their current HIV specialist

8. Notifying the Clients Mailed each potentially eligible client a letter Informed client they were potentially eligible for Veteran’s health care benefits Reminded client KADAP is payer of last resort Instructed client to contact the nearest VA office Required client to submit denial letter from VA Allowed 6-8 weeks for VA application process

9. Client Follow-Up If no response was received 7-10 days before deadline, mailed reminder notice If no response to reminder notice, client was removed from KADAP Allowed extensions for clients

10. T*II CANN Article July/August 2000 edition featured article Used questions listed in article Opted not to ask for copies of DD-214 (discharge papers)

11. Client Testimonials Follow-up with clients Clients found they were eligible for more than just health care benefits with VA Clients refused to use VA – not being served by KADAP

12. QUESTIONS?