Understanding the Allocation process
Planning Council budgets to Service Categories
AACO contracts with service providers
Feds grant funds based on epidemic and grant application
Deciding how to divide the EMA’s grant money is like deciding how to cut a pie.
The EMA received $ 21 million in Ryan White Part A in 2015
75% of that must be allocated to “core services”25% or less can be allocated to “supportive
services”
Philadelphia EMA allocated 80% to core services and about 17% to supportive services
▪ Outpatient and ambulatory health services▪ AIDS Drug Assistance Program treatments in accordance
with the minimum drug list▪ Drug Reimbursement▪ Oral health care▪ Early intervention services▪ Health insurance premium and cost sharing assistance
for low income individuals▪ Home health care▪ Home and community-based health services▪ Medical nutrition therapy▪ Medical case management, including treatment
adherence service▪ Hospice services▪ Mental health services▪ Substance abuse outpatient care
Blue= Not Currently Funded
Ambulatory Care $6,500,392 Case Management $6,117,032 Substance Abuse Treatment-Outpatient
$363,506 Mental Health Therapy/Counseling $518,789 Medical Nutrition Therapy $59,946 Oral Health Care $797,412
Transportation $438,288Food Bank/Home-Delivered Meals $311,927Housing Assistance $584,613Legal Services (Other Professional Services)
$398,676Emergency Financial Assistance $71,288
Local AIDS Pharmaceutical Assistance – 1,279,961
Another $3.1 million is allocated to system-wide categories like Administration (AACO), Planning Council Support (OHP), Capacity Building, Information and Referral (AACO Hotline),etc.
Region 2014 PLWHAs
Philadelphia 19,494 71.8%
PA 4,161 15.3%
NJ 3,466 12.8%
Our EMA uses living HIV and AIDS cases to decide how to divide the funding for each region. Each region receives a portion of funding equal to the number of living HIV/AIDS cases.
Finance Committee members chair the meetingEveryone has the opportunity to speak to offer
ideas and suggestions at the appropriate time4 budgets are drafted:
Level Funding (exactly the same amount)5% Decrease5% Increase10% Increase
Only Planning Council members present can vote on the region’s drafts
Each region’s budgets are presented to the Planning Council for final approval (July meeting)
Planning Council may make changes to these drafts before final approval
These regional budgets are combined into an EMA budget and included in the Part A grant application
AACO is required by federal law to follow the allocations as approved by the Planning Council
Any changes to the allocations must be presented to the Planning Council by AACO