Ryan White 2012 Grantee Meeting

ActionAIDS, one of Pennsylvania’s largest AIDS Service Organizations, has been billing Managed Care Organizations and insurance companies for Medical Case Management services since 1992. This presentation will discuss how our model was established and grown. Through this program we have significantly increased revenue to support programs and services. In addition, our model helps us to meet the HRSA requirement of insuring that Ryan White Funds are the “funds of last resort”. This training will provide a general overview of the Pennsylvania Department of Public Welfare’s Targeted Case Management Program and the process by which to seek reimbursement for medical case management services provided by HIV/AIDS service organizations. We will discuss and brainstorm with participants to share marketing and branding strategies to work with Managed Care Organizations to contract with community based AIDS Service organizations for Medical Case Management.

Learning Objectives:

• Increase awareness of fee for service models for Medical Case Management at a community based ASO.
• Provide a framework to understand how to brand and market fee for service models for Medical Case Management at a community based ASO.
• Develop strategies to initiate and grow a fee for service model for Medical Case Management services.