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