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Case Management (Non-medical)
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HRSA/HAB Category Definition:
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Case management (non-medical) includes the provision of advice and assistance in obtaining medical, social, community, legal, financial, and other needed services. Non-medical case management does not involve coordination and follow-up of medical treatments.
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Source: Definition provided by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB). 2009. Ryan White HIV/AIDS Treatment Modernization Act of 2006 Definitions for Eligible Services. Rockville, Md.: HRSA HAB, August 2009.
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Category Notes:
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Client Advocacy
Client advocacy is defined as advice and assistance obtaining medical, social, community, legal, financial and other needed services. Services focus on ensuring that consumers have access to special HIV resources not offered by other service providers. Client advocate activities are directed toward immediate problem solving, not based upon establishing long-term relationships or ongoing services. Client advocacy does not involve coordination or follow-up on medical treatments, as case management does.
The following definition clarifications are a result of a conference call involving representatives of the grantee (BCHD), Greater Baltimore HIV Health Services Planning Council (PC), PC support office (IGS) and HRSA on May 28, 2008.
• The key differentiation between non-medical case management and medical case management is that the former cannot coordinate or follow up on a medical component; otherwise the two categories are the same.
• Transportation could be provided as a line item in this service.
Clarifications
The following clarification was distributed by HRSA on April 8, 2010 (HRSA 2010).
Benefits and Entitlement Counseling
Funds awarded under Ryan White HIV/AIDS Program may be used to refer or assist eligible clients to obtain access to other public and private programs for which they may be eligible, e.g. Medicaid Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient Assistance Programs, and other state or local health care and supportive services.
Such benefits/entitlement counseling and referral activities may be provided as a component of three allowable Ryan White HIV/AIDS Program support service categories: Medical Case Management, Case Management (non-medical) and/or Referral for Health Care/Supportive Services.
History
Case management (non-medical) was created in 2007. The definition was previously used for client advocacy, which is no longer a fundable service.
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