MCPHD/IDOH will be hosting a Subrecipient TA Webinar on Monday February 7, 2022, from 2:00pm-3:30pm. Please mark your calendars as this webinar will give vital information about the 2021 RSR submission as this year will be the first submission since both programs (MCPHD and IDOH) have been joined together in CAREWare.
Background/Overview: The Indianapolis Transitional Grant Area (TGA) is a ten county geographic area that has been disproportionately affected by HIV/AIDS. The Ryan White HIV/AIDS Treatment Modernization Act of 2006 requires that all Ryan White grantees establish and maintain a quality management program to ensure access to primary HIV care that is consistent with the most recent Public Health Service guidelines; to assure that receipt of such services result in an improvement of health outcomes and quality of life; and to encourage and promote substantive consumer involvement in maintaining the quality management process.
To complement existing quality-related activities such as outcomes evaluation, standards of care and fiscal and programmatic monitoring, the QM Program of the Ryan White HIV Services Program conducts clinical and supportive service chart review activities as well as client satisfaction surveys. In addition, the QM Program works in collaboration with the Program’s Project and Training Coordinator to ensure adherence to the local Indianapolis TGA Standards of Care, developed by the Planning Council, and the National Monitoring Standards. The Indianapolis Transitional Grant Area Quality Management Plan 2018 – 2019 (Revised) is here.
CAREWare is free, scalable software for managing and montoring HIV clinical and supportive care service delivery. CAREWare enables Ryan White funded agencies, also referred to as subrecipients, to quickly produce a completed Ryan White HIV/AIDS Services Report (RSR) as required for annual submission to the Health Resources and Services Administration (HRSA). Â
A variety of CAREWare 6 resources may be accessed below:
The Ryan White HIV Services Program utilizes CAREWare in a real-time centralized database configuration in which client level data is stored on a secure central server. Unless otherwise specified and approved prior to funding by the Ryan White HIV Services Program, CAREWare is the required data collection and reporting system for all funded subrecipients. Submission of client level data (by means of the RSR) is a mandate of HRSA and is a requirement for funding consideration and continuation. The Indianapolis TGA Ryan White HIV Services Program in collaboration with the Indiana Department of Health HIV Services Ryan White Part B Program is pleased to announce the introduction of a statewide centralized HIV data collection and management system. Initial stages of implementation began in July 2019 and work is now complete. For further information on the collaboration go here. This collaboration encompasses the first-ever Cross-Agency Ryan White HIV/AIDS Program Services Report (RSR) Plan.Â
The timeline for completion of the 2022Â RSR is below:
There are multiple resources available to assist you in completing the RSR. The TargetHIV website is the main website for Ryan White HIV/AIDS Program training and technical assistance materials. In addition, the RWSP and IDOH have developed some resources for local use.
Vision services include annual eye exams and glasses.
720 Eskenazi Avenue
Indianapolis IN 46202
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
Glick Building
1160 West Michigan Street
Indianapolis IN 46202
Syringe services programs are prevention programs that provide access to and disposal of sterile syringes, linkage to care, and linkage to substance use treatment.Â
26 North Arsenal Avenue
Indianapolis IN 46201
Substance abuse services on a residential basis include assessment, detoxification, residential treatment, individual therapy, group therapy, transitional housing, urine drug screens, aftercare and relapse prevention.
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Indianapolis IN 46218
Substance abuse services on an outpatient basis include pre-treatment recovery readiness programs, harm reduction, mental health counseling for anxiety and other disorders associated with substance abuse, outpatient drug-free treatment and counseling, opiate assisted therapy, neuro-psychiatric pharmaceuticals, and relapse prevention. This service does not cover the cost of inpatient services, including inpatient detoxification.
Specialized Case Management is a patient-tailored support services. This may include assistance with retention in care, addressing barriers to accessing/taking antiretroviral therapy, linkage to care, and other identified barriers
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Short-term housing assists with provision of short-term housing or assistance with housing related expenses in order to enable an individual or family to gain or maintain medical care.
Rapid Start is an intervention to immediately link patients to care and initiate ART.
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
Rapid HIV Testing will provide test results in a shorter period of time compared to traditional HIV Testing.
Promote and refer clients for PrEP.
3400 Lafayette Road
Suite 200
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Outreach Services include: Â Identification of people who do not know their HIV status and/or linkage or re-engagement of PLWH who know their status into Ryan White services, including provision of information about health care coverage options.
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
Eskenazi Hospital-Lower Level, Main Hospital
720 Eskenazi Avenue
Indianapolis IN 46202
1650 N College
Indianapolis IN 46202
Outpatient/ambulatory labs include professional diagnostic and screening services provided by a medical lab.
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Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Outpatient Ambulatory Adherence services are focused toward assisting clients maintain their medication regimens and other components of their medical treatment
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
Outpatient/ambulatory medical care includes professional diagnostic and therapeutic services provided by a physician (doctor), physician’s assistant, clinical nurse specialist, or nurse practitioner in an outpatient setting, such as a clinic, medical/doctor’s office, and or/mobile unit and includes the cost of HIV lab work.
26 North Arsenal Avenue
Indianapolis IN 46201
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Oral health care includes diagnostic, preventive (cleanings), and therapeutic services (root canals, dentures) provided by general dental practitioners, dental specialists, dental hygienists and other trained providers.
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Indianapolis IN 46202
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
1121 West Michigan Street
Indianapolis IN 46202
These are services provided by a licensed registered dietician outside of a primary care visit and includes the provision of nutritional supplements. Medical nutrition therapy provided by someone other than a licensed/registered dietitian should be recorded under psychosocial support services.
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Suite 300
Indianapolis IN 46202
4755 Kingsway Drive
Suite 300
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Non-medical case management services are similar to care coordination and include the provision of advice and assistance in obtaining medical, social, community, legal, financial, and other needed services.
Ryan White Part A/MAI funds are focused on reducing HIV-related health disparities and improving health outcomes for the HIV+ African-American and Hispanic communities.
The main goals of the MAI Program are to improve HIV-related health outcomes and to reduce HIV-related disparities and disease among racial and ethnic minority communities disproportionately affected by HIV/AIDS. The MAI Program conducts outreach, health education/risk reduction, and HIV treatment adherence education, and works in the community with providers to increase access to culturally and linguistically competent services for PLWH/A in the TGA. The two critical arms of the MAI Program are the MAI Community Liaison and the Health Education/Risk Reduction (HE/RR) Coordinator.
1712 N. Meridian St.
Suite 200
Indianapolis IN 46202
26 North Arsenal Avenue
Indianapolis IN 46201
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
1650 N College
Indianapolis IN 46202
Mental health services are psychological and psychiatric treatment and counseling services offered to individuals with a diagnosed mental illness, conducted in a group or individual setting, and provided by a mental health professional licensed or authorized within Indiana to provide such services. This typically includes psychiatrists, psychologists, and licensed clinical social workers.
26 North Arsenal Avenue
Indianapolis IN 46201
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Medical transportation services enable clients to access HIV-related medical care and support services.
1712 N. Meridian St.
Suite 200
Indianapolis IN 46202
1310 South Meridian Street
Indianapolis IN 46225
26 North Arsenal Avenue
Indianapolis IN 46201
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
401 E. 34th St.
Indianapolis IN 46205
Medical case management services are similar to care coordination services and provide a range of services that link clients with health care, psychosocial (support groups), pharmaceutical (HIV medications) and a variety of other services. Coordination and follow-up of medical treatment, as well as treatment adherence (sticking to your doctor’s orders), are components of medical case management.
Linkage services assist with connecting clients into medical care.
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North Dr, Apt #A
Indianapolis IN 46205
3400 Lafayette Road
Suite 200
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Indianapolis Indiana
Linguistics services include interpretation and translation for oral and written communications between a medical or support services provider and client.
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
1650 N College
Indianapolis IN 46202
Coaching from a certified life coach to assist patients in managing their prescriptions and medical needs.Â
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Sexual health services directed to LGBTQ+ individuals.
Legal services provided to and/or on behalf of the individual living with HIV and involving legal matters related to or arising from their HIV disease.Â
26 North Arsenal Avenue
Indianapolis IN 46201
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4755 Kingsway Drive
Suite 300
Indianapolis IN 46205
Home Delivered Meals refers to the delivery of food items, including hot and cold meals, to the residences of eligible clients.Â
For the Culture (FTC) is a program that creates culturally sensitive HIV prevention and care services to reduce stigma and reduce the incidence and prevalence of HIV.Â
3400 Lafayette Road
Suite 200
Indianapolis IN 46222
HIV counseling and testing comprises a pre-test counsel, rapid or blood-based HIV test, and a post-test counsel. HIV counseling and testing is provided in accordance with the US Centers for Disease Control and Prevention guidelines.
Fifth Third Bank Building, 1st Floor
640 Eskenazi Avenue
Indianapolis Indiana 46202
26 North Arsenal Avenue
Indianapolis IN 46201
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
3400 Lafayette Road
Suite 200
Indianapolis IN 46222
4755 Kingsway Drive
Suite 300
Indianapolis IN 46205
This service consists of financial assistance for eligible individuals living with HIV to maintain continuity of health insurance or to receive medical benefits under a health insurance program. This includes premium payments and deductibles on behalf of the client, and providing funds to contribute to clients’ Medicare Part C true out-of-pocket (TrOOP) costs.
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Health Education/Risk Reduction is the provision of education to clients living with HIV about HIV transmission and how to reduce the risk of HIV transmission. It includes sharing information about medical and psychosocial support services and counseling with clients to improve their health status. Topics covered may include: Education on risk reduction strategies to reduce transmission such as pre-exposure prophylaxis (PrEP) for clients’ partners and treatment as prevention; education on health care coverage options (e.g., qualified health plans through the Marketplace, Medicaid coverage, Medicare coverage); health literacy; and treatment adherence education.  Health Education/Risk Reduction services cannot be delivered anonymously.Â
1712 N. Meridian St.
Suite 200
Indianapolis IN 46202
300 E Fall Creek Pkwy
North Dr, Suite 250
Indianapolis IN 46205
1650 N College
Indianapolis IN 46202
3400 Lafayette Road
Suite 200
Indianapolis IN 46222
Indianapolis Indiana
Harm reduction assists in reducing negative outcomes associated with drug use.
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North Dr, Ste 250
Indianapolis IN 46205
This service can be provided in several ways: food vouchers, food pantry or food bank visit, or home delivered meals.
1712 N. Meridian St.
Suite 200
Indianapolis IN 46202
26 North Arsenal Avenue
Indianapolis IN 46201
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
401 E. 34th St.
Indianapolis IN 46205
4755 Kingsway Drive
Suite 300
Indianapolis IN 46205
Faith Based Outreach Services include: Â Identification of people who do not know their HIV status and/or linkage or re-engagement of PLWH who know their status into Ryan White services, including provision of information about health care coverage options among individuals identified through the churches.
2951 East 38th Street
Indianapolis IN 46218
Faith Based Organized In-home HIV Testing provides HIV messages/sermons, HIV 101 classes, and HIV home tests.
2951 East 38th Street
Indianapolis IN 46218
Emergency financial (utilities) assists with expenses related to essential utilities when other resources are not available.
1712 N. Meridian St.
Suite 200
Indianapolis IN 46202
1310 South Meridian Street
Indianapolis IN 46225
26 North Arsenal Avenue
Indianapolis IN 46201
401 E. 34th St.
Indianapolis IN 46205
4755 Kingsway Drive
Suite 300
Indianapolis IN 46205
Replaces LPAP for now
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Replaces short-term housing
1712 N. Meridian St.
Suite 200
Indianapolis IN 46202
1310 South Meridian Street
Indianapolis IN 46225
26 North Arsenal Avenue
Indianapolis IN 46201
401 E. 34th St.
Indianapolis IN 46205
4755 Kingsway Drive
Suite 300
Indianapolis IN 46205
Emergency financial (food) services assist with expenses related to essential food when other resources are not available.
1310 South Meridian Street
Indianapolis IN 46225
26 North Arsenal Avenue
Indianapolis IN 46201
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202
Early intervention services include HIV testing and targeted counseling (including tests to confirm the presence of HIV, tests to diagnose the extent of immune deficiency, tests to provide information on appropriate therapeutic measures) and related referral services.
26 North Arsenal Avenue
Indianapolis IN 46201
1633 North Capitol Avenue
Suite 300
Indianapolis IN 46202
Eskenazi Hospital-Lower Level, Main Hospital
720 Eskenazi Avenue
Indianapolis IN 46202
4755 Kingsway Drive
Suite 300
Indianapolis IN 46205
2951 East 38th Street
Indianapolis IN 46218
The Connections Project is uses multiple HIV prevention strategies to address barriers to care in targeted communities: behavioral risk reduction, harm reduction, condom distribution, PrEP/PEP, STI treatment.
4755 Kingsway Drive
Suite 300
Indianapolis IN 46205
AIDS pharmaceutical assistance includes provision of HIV/AIDS medications in emergency situations.
720 Eskenazi Avenue
Fifth Third Bank Office Building, Floor 2
Indianapolis IN 46202