FISCAL YEAR 2015 CLIENT SERVICE UTILIZATION

Transcription

1 Ryan White HIV/AIDS Treatment Extension Act Part A and Part A MAI Boston EMA FISCAL YEAR 2015 CLIENT SERVICE UTILIZATION Boston Public Health Commission Infectious Disease Bureau HIV/AIDS Service Division

2 Summary of FY2015 Part A Annual Utilization The Ryan White Part A Annual Utilization Report provides an overview of aggregate demographic and service utilization data for all people living with HIV (PLWH) that received a Boston Public Health Commission (BPHC) Part A funded service during Fiscal Year 2015 (March 1, 2015 February 29, 2016). This report includes breakdowns for all PLWH who received Part A funded services as well as additional breakdowns by specific service categories. Part A funds were used to serve 5,523 PLWH in the EMA in FY2015, including 1,420 clients who did not receive services during FY2014. Fiscal Year Number of clients served , , ,891 Total records in e2boston 9,128 This year s report marks the second year that data was generated via e2boston, an online based data reporting system. All funded agencies are required to use this system to report data to BPHC. In addition to giving agencies real-time access to their own data and the ability to update client records electronically, it has greatly enhanced BPHC s capacity to conduct comprehensive reviews of data accuracy and completeness. To date, a total of 9,128 client records exist in the system. Some new additions to the report include the following: Client Health Insurance information for each service category has been added, as this data was not available last year. In the Overall Client Demographic Summary, two new columns indicate the number of clients and corresponding percentage from the previous year s data for each demographic variable. The report breaks out Rental/Utility Assistance and Housing Search and Advocacy. In last year s report, data for these two types of housing services were combined. However, due to different program models, breaking out by type of program will provide a better delineation of demographic and volume of clients accessing rental/utilities assistance versus those receiving housing search and advocacy. Part A client demographics in are very similar to those in FY14. The one area of difference is in the distribution of income among Part A clients. In FY14, 63% of clients were making less than 100% of the Federal Poverty Level (FPL), compared to 53% in. As with all systems, however, some additional adjustments are currently being made to improve how data are generated for the Annual Utilization Report. The FY 2015 report has been able to replicate all previous demographic and service utilization data fields found in last year s report, but supplemental reports and updates will be made after the initial publication of the Annual Utilization Report. This is the first year that Outcomes information is available in e2boston, and client outcomes data will be made available in a subsequent summary report. In addition to 2

3 summary reports, BPHC staff are working on comparative analyses of client level data that will also be made available later this summer. Several important caveats that may impact interpretation of current results include the following: Currently, Risk Exposure add up to more than 100% because e2boston currently allows PLWH to select more than one exposure so it is possible for a client to contribute more than one answer regarding exposure categories. For this reason, only the total number of unique clients is identified for Risk Category tables. This is also the only table that features a percent total greater than 100%. Information for Part A MAI-funded Medical Case Management and Psychosocial Support Peer Support services were previously reported as separate categories. Although these two service categories are tracked as a separating funding stream within e2boston, BPHC is currently reviewing the proper breakout of Part A non-mai versus Part A MAI funded programs. Updates with this MAI-specific data will be released as a supplemental report later this year. The FY14 comparison column More than One Race table in the All Client Demographics sheet does not add up to 100% because we introduced new combination race categories that were not included in last year s report. Categories were only included for comparison if they were exactly the same. This section is a special data run and was only conducted for the total client summary. The most recent amounts of Total Billing were used in the Service Utilization Summary sections, but these amounts are yet to be finalized and as such may change. BPHC will update the report as necessary. 3

4 Service Category Definitions (in alphabetical order) AIDS Drug Assistance Program (ADAP/HDAP) (Drug Reimbursement) The service funded under this category is the provision of medically prescribed pharmaceuticals used in the prevention, management, and treatment of HIV disease. Services funded under this category are only available for HIV + individuals who have met the eligibility requirements for participation in the Plan and have been enrolled according to standard Plan procedure. Food Bank/Home-Delivered Meals This category includes the provision of actual food or meals. Services funded under this category are the provision of calorically and nutritionally appropriate food, which may include, but are not limited to: prepared meals; congregate meals; home-delivered food; food banks; nutritional supplements; and the provision of nutrition counseling under the supervision of a registered dietician. Housing Search and Advocacy These services include assessment, search, placement, and advocacy services provided by those who possess an extensive knowledge of local, State, and Federal housing programs and how they can be accessed. Housing Rental and Utilities Assistance Services funded under this category include the provision of short-term and/or emergency rental assistance, the provision of housing support in a group home or scattered site setting, and emergency housing-related expenses such as utilities. Medical Case Management Historically known as Case Management, services funded under this category provide clientcentered services that link clients with primary medical care and health-related support services in a manner that ensures timely, coordinated access to appropriate levels of care. Clientcentered services support a client s ability in maximizing his/her self-sufficiency and independence. Key activities include: information and referral; assessment of the client s needs and personal support systems; development of a comprehensive individualized service care plan; coordination of the services required to implement the plan; client monitoring to assess the efficacy of the plan; periodic reassessment; and adoption of the plan. It is expected that medical case management programs will establish and maintain effective linkages with primary care and other service providers and ensure that medical case management services are not being duplicated across providers. Services will also be provided within a harm reduction framework and will include basic risk assessment and risk reduction planning. MAI Medical Case Management 4

5 Historically known as Case Management, services funded under this category provide clientcentered services that link clients with primary medical care and health-related support services in a manner that ensures timely, coordinated access to appropriate levels of care. Clientcentered services support a client s ability in maximizing his/her self-sufficiency and independence. Key activities include: information and referral; assessment of the client s needs and personal support systems; development of a comprehensive individualized service care plan; coordination of the services required to implement the plan; client monitoring to assess the efficacy of the plan; periodic reassessment; and adoption of the plan. It is expected that medical case management programs will establish and maintain effective linkages with primary care and other service providers and ensure that medical case management services are not being duplicated across providers. Services will also be provided within a harm reduction framework and will include basic risk assessment and risk reduction planning. The purpose of MAI Medical Case Management is to provide services that are culturally and linguistically appropriate to African Americans, individuals of African descent, Latinos, Native Americans, Asian Americans, Native Hawaiians, Pacific Islanders, and individuals of Asian descent who are living with HIV/AIDS. Medical Nutrition Therapy This category includes the provision of actual food or meals. Eligibility for this service requires certification by a physician and reassessment by a registered dietitian. Services funded under this category are the provision of calorically and nutritionally appropriate prepared food, which may include, but are not limited to: prepared meals; congregate meals; home-delivered food; food banks; nutritional supplements; and the provision of nutrition counseling under the supervision of a registered dietician. Medical Transportation Services funded under this category include, but are not limited to taxi vouchers and public and private transport services that enable clients and their caregivers to access HIV primary medical care and health-related support services. Oral Health Care (Dental) Services funded under this category are recruitment of dentists and preventive diagnostic and therapeutic services rendered by dentists, dental hygienists and other dental practitioners licensed to provide health care in the State or jurisdiction. Psychosocial Support (Peer Support / Mental Health / Substance Abuse) Services funded under this category include Peer Support, Mental Health, and Substance Abuse. Peer Support services provide assistance to clients where the person(s) providing the service is a person infected with HIV and of the client s self-identified community. Such services include the provision of culturally competent psychosocial support and assistance in obtaining a range of services and entitlement that will meet the needs of the client and are provided by licensed, or non-licensed, paraprofessional individuals. Mental Health services are those 5

6 facilitated by mental health professionals, including psychiatrists, psychologists, and clinical social workers who are licensed by the appropriate state services to render such services. These services are non-traditional in that they are intended to serve clients in agencies and settings that are not certified to bill Medicaid or other insurers. Mental health services that are reimbursable by third parties are not eligible for funding under this service category. Substance Abuse services refer to counseling services aimed at addressing substance abuse problems (i.e. alcohol, and/or legal and illegal drugs) in an outpatient setting provided by qualified personnel. MAI Psychosocial Support Also known as Peer Support, services funded under this category provide assistance to clients where the person(s) providing the service is a person infected with HIV and of the client s selfidentified community. Such services include the provision of culturally competent psychosocial support and assistance in obtaining a range of services and entitlement that will meet the needs of the client and are provided by licensed, or non-licensed, paraprofessional individuals. The purpose of MAI Psychosocial Support is to provide services that are culturally and linguistically appropriate to African Americans, individuals of African descent, Latinos, Native Americans, Asian Americans, Native Hawaiians, Pacific Islanders, and individuals of Asian descent who are living with HIV/AIDS. Substance Abuse-Residential Services funded under this category may include: Treatment to address substance abuse problems (including alcohol and/or legal and illegal drugs) in a residential health service setting (short-term). 6

7 Demographic Summary of all PLWH Receiving Part A and MAI Funded Services from March 1, February 29, 2016 (n=5,523) Hispanic or Latino/a # Clients % Hispanic or Latino/a 1, ,678 30% 1,626 30% Not Hispanic or Latino/a 2,577 1, ,806 69% 3,786 69% Unknown/Unreported % 59 1% Total 3,693 1, , % 5, % Federal Race Categories # Clients % White 2, ,741 50% 2,563 47% Black or African-American ,835 33% 1,753 32% Asian % 74 1% Native Hawaiian <1% 13 <1% American Indian % 32 1% More than one race % 38 1% Unknown/Unreported % % Total 3,693 1, , % 5, % More than one race selected # Clients % White & Black & Amer. Ind % N/A N/A White & Black % 22 58% White & American Indian % 4 11% White & Asian % N/A N/A Black & American Indian % 4 11% Black & Hawaiian % 1 3% Black & Any other race selected % 1 3% Total % 32 86% Other Racial or Ethnic Groups # Clients % African % 152 3% Brazilian % 80 2% Cape Verdean % 34 1% Haitian % 139 3% Portuguese % 19 <1% More than one <1% 3 <1% Other / Unknown / Unreported 3,396 1, ,966 90% 5,044 92% Total 3,693 1, , % 5, % HIV Status # Clients % HIV+, not AIDS 1,922 1, ,009 55% 3,027 55% HIV+, AIDS status unknown % 359 7% AIDS, CDC Defined 1, ,977 36% 2,039 37% Unreported % 46 1% Total 3,693 1, , % 5, % Risk Exposure Client Data Client Data Client Data Client Data Client Data Client Data FY 14 Client Data FY 14 Client Data FY 14 Client Data FY 14 Client Data FY 14 Client Data FY 14 Client Data # Clients % Men who have sex with men 1, ,945 35% 1,820 33% Injecting drug users % % Heterosexual contact 1,114 1, ,539 46% 2,547 47% Perinatal transmission % 146 3% Hemophilia / Coagulation disorder % 24 <1% Through blood, blood products, tissue % 114 2% Other risk % 64 1% Risk factor not reported or identified % 331 6% Unique Clients 5,523 5,471 7

8 All Client Demographics, Continued Income Client Data FY 14 Client Data # Clients % Equal to or below FPL 1,714 1, ,909 53% 3,434 63% % FPL ,182 21% % % FPL % 297 5% % FPL % 121 2% % FPL % 25 1% Greater than 500% FPL <1% 9 <1% Unknown / unreported % % Total 3,693 1, , % 5, % Housing / Living Arrangement Client Data FY 14 Client Data # Clients % Permanent housing 2,997 1, ,509 82% 4,428 81% Transitional housing % 290 5% Emergency shelter % 94 2% Substance abuse treatment facility % 60 1% Psychiatric facility <1% 4 <1% Incarcerated <1% 7 <1% Temporarily staying at a family/friend's residence % 375 7% Place not meant for human habitation % 132 2% Other <1% 81 1% Total 3,693 1, , % 5, % Primary Language Client Data FY 14 Client Data # Clients % English 1, ,871 34% 1,534 28% Spanish % % Haitian Creole % 65 1% French <1% 12 <1% Portuguese % 63 1% Crioulo (Cape Verdean) % 25 1% S.E. Asian Langauge <1% 12 <1% American Sign Langauge <1% 1 <1% Other % 48 1% Unknown / unreported 1, ,548 46% 3,088 56% Total 3,693 1, , % 5, % Age Client Data FY 14 Client Data # Clients % Less than % 42 1% % 32 1% ,516 27% 1,548 29% 45 and older 2,693 1, ,939 71% 3,849 70% Total 3,693 1, , % 5, % Insurance Status Client Data FY 14 Client Data # Clients % Private- Employer % Private- Individual % Medicare % Medicaid 1, ,649 48% Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % N/A Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total 3,693 1, , % 8

9 Demographics of PLWH Who Received Part A and MAI Medical Case Management (n=2,875) Hispanic or Latino/a Hispanic or Latino/a ,004 34% Not Hispanic or Latino/a 1, ,856 63% Unknown/Unreported % Total 1,847 1, , % Federal Race Categories White ,309 46% Black or African-American ,060 37% Asian % Native Hawaiian <1% American Indian <1% More than one race % Unknown/Unreported % Total 1,847 1, , % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese <1% More than one <1% Other / Unknown / Unreported 1, ,436 82% Total 1,847 1, , % HIV Status HIV+, not AIDS ,523 53% HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total 1,847 1, , % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact ,453 49% Perinatal transmission % Hemophilia / Coagulation disorder <1% Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients 2,875 9

10 Medical Case Management Demographics, Continued: Income Equal to or below FPL ,648 57% % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL <1% Unknown / unreported % Total 1,847 1, , % Housing / Living Arrangement Permanent housing 1, ,336 79% Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility <1% Incarcerated <1% Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Unknown <1% Total 1,847 1, , % Age Less than % % ,004 35% 45 and older 1, ,809 63% Total 1,847 1, , % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid ,354 47% Indian Health Services % VA, Tricare, and other military health care <1% Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total 1,847 1, , % 10

11 Service Utilization Summary: Medical Case Management Number of programs reported: 24 Total Number of Clients: 2,875 Total Billing: $5,189,028 Svc. Unit Service Unit Description Total Units Unique Clients 4080 CASE MGMNT SERVICE-INTAKE CASE MGMNT SERVICE-ASSESSMENT COMPLETED CASE MGMNT SERVICE-VISIT, GENERAL 12,314 2, CASE MGMNT SERVICE-PHONE, FOLLOW-UP 24,803 2, CASE MGMNT SERVICE-REASSESSMENT 2,818 1, CASE MGMNT SERVICE-VISIT, HOME 1, CASE MGMNT SERVICE-SUPPORTED REFERRAL 5,524 1, TRANSPORTATION- PUBLIC 4, TRANSPORTATION- TAXI Total Number of Units 52,982 Total Unique: 2,875 11

12 Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a ,258 71% Unknown/Unreported <1% Total 1, , % Federal Race Categories White ,008 58% Black or African-American <1% Asian % Native Hawaiian <1% American Indian <1% More than one race % Unknown/Unreported % Total 1, , % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one <1% Other / Unknown / Unreported 1, ,579 90% Total 1, , % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported <1% Total 1, , % Exposure Category Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder <1% Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients Demographics of PLWH Who Received Oral Health Services (n=1,751) 1,751 12

13 Oral Health Demographics, Continued: Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL <1% Unknown / unreported % Total 1, , % Housing / Living Arrangement Permanent housing 1, ,507 86% Transitional housing % Emergency shelter <1% Substance abuse treatment facility <1% Psychiatric facility % Incarcerated <1% Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other <1% Total 1, , % Age Less than <1% <1% % 45 and older ,332 76% Total 1, , % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care <1% Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total 1, , % 13

14 Service Utilization Summary: Oral Health Care Number of programs reported: 1 Total Number of Clients: 1,751 Total Billing: $1,163,025 Service Unit Service Unit Description Total Units Unique Clients 4161 DENTAL CARE - INITIAL INTAKE, STARTED DENTAL CARE - TREATMENT COMMITTED 1, DENTAL CARE - TREATMENT CLAIM 3,842 1, DENTAL CARE - PHONE, FOLLOW-UP 1, Total Number of Units 7,247 Total Unique: 1,751 14

15 Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported <1% Total , % Federal Race Categories White % Black or African-American % Asian <1% Native Hawaiian <1% American Indian <1% More than one race % Unknown/Unreported % Total , % Other Racial or Ethnic Groups African % Brazilian <1% Cape Verdean <1% Haitian <1% Portuguese <1% Other / Unknown / Unreported ,192 98% Total , % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported <1% Total , % Exposure Category Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients Demographics of PLWH Who Received Food Bank/Home Delivered Meals (n=1,212) 1,212 15

16 Food Services Demographics, Continued: Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL <1% Greater than 500% FPL <1% Unknown / unreported % Total , % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility <1% Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other <1% Total , % Age Less than % <1% % 45 and older % Total , % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net <1% Other Public Insurance % No insurance % More than one selected % Unreported % Total , % 16

17 Service Utilization Summary: Food Bank/Home Delivered Meals Number of programs reported: 3 Total Number of Clients: 1,212 Total Billing: $821,005 Service Unit Service Unit Description Total Units Unique Clients 4223 FOOD SVC- MEALS, CONGREGATE 23, FOOD SVC- ASSESSMENT, NUTRITIONAL FOOD SVC- VISIT, NUTRITIONAL COUNSELING FOOD SVC - HOME DELIVERED FOOD FOOD SVC- FOOD BANK PACKAGE 8, Total Number of Units 32,160 Total Unique: 1,212 17

18 Demographics of PLWH Who Received Medical Nutritional Therapy (n=361) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian <1% More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese <1% More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients

19 Medical Nutritional Therapy Demographics, Continued: Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL % Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter <1% Psychiatric facility <1% Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Total % Age Less than % % % 45 and older % Total % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 19

20 Service Utilization Summary: Medical Nutritional Therapy Number of programs reported: 1 Total Number of Clients: 361 Total Billing: $1,152,286 Service Unit Service Unit Description Total Units Unique Clients 4221 FOOD SVC- HOME FOOD DELIVERY, PROF. 101, FOOD SVC- ASSESSMENT, NUTRITIONAL FOOD SVC- VISIT, NUTRITIONAL COUNSELING 1, FOOD SVC- FOOD BANK PACKAGE 1, FOOD SVC- NUTRITIONAL SUPPLEMENT 25, Total Number of Units 130, Total Unique:

21 Demographics of PLWH Who Received Housing - Rental and Utilities Assistance Services (n=448) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian <1% Native Hawaiian <1% American Indian <1% More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese <1% More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients

22 Rental and Utility Assistance Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL <1% Greater than 500% FPL <1% Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility <1% Psychiatric facility % Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Total % Age Less than % <1% % 45 and older % Total % Insurance Status Private- Employer % Private- Individual <1% Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care <1% Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 22

23 Service Utilization Summary: Housing - Rental and Utilities Assistance Number of programs reported: 1 Total Number of Clients: 448 Total Billing: $618,963 Service Unit Service Unit Description Total Units Unique Clients 4271 HOUSING - RENTAL ASSISTANCE HOUSING - UTILITY ASSISTANCE Total Number of Units 143 Total Unique:

24 Demographics of PLWH Who Received Housing Search and Advocacy Services (n=62) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian % More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients 62 24

25 Housing Search and Advocacy Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL % Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility % Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Total % Age Less than % % % 45 and older % Total % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 25

26 Service Utilization Summary: Housing Search and Advocacy Number of programs reported: 1 Total Number of Clients: 62 Total Billing: $215,567 Service Unit Service Unit Description Total Units Unique Clients 4261 HOUSING - VISIT, INITIAL HOUSING - VISIT, FOLLOW UP 1, HOUSING - PHONE, FOLLOW UP 1, HOUSING - PLACEMENT, TEMP HOUSING - PLACEMENT, PERM Total Number of Units 3,371 Total Unique: 62 26

27 Demographics of PLWH Who Received Part A and MAI Psychosocial Support, Peer Support (n=649) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported <1% Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian <1% More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients

28 PS-Psychosocial Support Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL <1% Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility <1% Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other <1% Unknown / unreported <1% Total % Age Less than % <1% % 45 and older % Total % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 28

29 Service Utilization Summary: Psychosocial Support - Peer Support Number of programs reported: 10 Total Number of Clients: 649 Total Billing: $873,918 Service Unit Service Unit Description Total Units Unique Clients 4361 PS - PEER SUPPORT SESSION, GROUP 8, PS - PEER SUPPORT SESSION, INDIV. 2, PS - PEER NETWORKING SUPPORT SESSION Total Number of Units 11,249 Total Unique:

30 Demographics of PLWH Who Received Psychosocial Support - Mental Health (n=125) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian % More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients

31 PS-Mental Health Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL % Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility % Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Total % Age Less than % % % 45 and older % Total % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 31

32 Service Utilization Summary: Pyschosocial Support - Mental Health Number of programs reported: 2 Total Number of Clients: 125 Total Billing: $118,989 Service Unit Service Unit Description Total Units Unique Clients PS - MENTAL HEALTH SESSION, INDIVIDUAL PS - MENTAL HEALTH SESSION, GROUP PS - MENTAL HEALTH SESSION, FAMILY , Total Number of Units 1,776 Total Unique:

33 Demographics of PLWH Who Received Psychosocial Support - Substance Abuse (n=110) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian % More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients

34 PS-Substance Abuse Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL % Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility % Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Total % Age Less than % % % 45 and older % Total % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 34

35 Service Utilization Summary: Pyschosocial Support - Substance Abuse Number of programs reported: 2 Total Number of Clients: 110 Total Billing: $84,917 Service Unit Service Unit Description Total Units Unique Clients 4421 PS - SUBSTANCE ABUSE HOUR, INDIVIDUAL PS - SUBSTANCE ABUSE HOUR, GROUP Total Number of Units 984 Total Unique:

36 Demographics of PLWH Who Received Residential Substance Abuse (n=101) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian % More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients

37 Res. Substance Abuse Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL % Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility % Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Total % Age Less than % % % 45 and older % Total % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 37

38 Service Utilization Summary: Residential Substance Abuse Number of programs reported: 3 Total Number of Clients: 101 Total Billing: $587,341 Service Unit Service Unit Description Total Units Unique Clients 4703 SUBSTANCE ABUSE - BED DAY, RSS 6, Total Number of Units 6,266 Total Unique:

39 Demographics of PLWH Who Received Medical Transportation services (n=473) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian % More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients

40 Medical Transport. Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL % Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility % Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation <1% Other <1% Total % Age Less than % % % 45 and older % Total % Insurance Status Private- Employer % Private- Individual <1% Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 40

41 Service Utilization Summary: Medical Transportation Number of programs reported: 4 Total Number of Clients: 473 Total Billing: $253,666 HOUSING SEARCH AND ADVOCACY Service Unit Service Unit Description Total Units Unique Clients 4261 MT - ONE-WAY RIDE, PUBLIC 9, MT - ONE-WAY RIDE, 4262 TAXI/TRANSPORT COMPANY 11, Total Number of Units 21,031 Total Unique:

42 Demographics of PLWH Who Received Drug Assistance services (NH ADAP Only, n=84) Hispanic or Latino/a Hispanic or Latino/a % Not Hispanic or Latino/a % Unknown/Unreported % Total % Federal Race Categories White % Black or African-American % Asian % Native Hawaiian % American Indian % More than one race % Unknown/Unreported % Total % Other Racial or Ethnic Groups African % Brazilian % Cape Verdean % Haitian % Portuguese % More than one % Other / Unknown / Unreported % Total % HIV Status HIV+, not AIDS % HIV+, AIDS status unknown % AIDS, CDC Defined % Unreported % Total % Risk Exposure Men who have sex with men % Injecting drug users % Heterosexual contact % Perinatal transmission % Hemophilia / Coagulation disorder % Through blood, blood products, tissue % Other risk % Risk factor not reported or identified % Unique Clients 84 42

43 ADAP NH Demographics, Continued Income Equal to or below FPL % % FPL % % FPL % % FPL % % FPL % Greater than 500% FPL % Unknown / unreported % Total % Housing / Living Arrangement Permanent housing % Transitional housing % Emergency shelter % Substance abuse treatment facility % Psychiatric facility % Incarcerated % Temporarily staying at a family/friend's residence % Place not meant for human habitation % Other % Total % Age Less than % % % 45 and older % Total % Insurance Status Private- Employer % Private- Individual % Medicare % Medicaid % Indian Health Services % VA, Tricare, and other military health care % Commonwealth Care % Health Safety Net % Other Public Insurance % No insurance % More than one selected % Unreported % Total % 43