GUIDE TO HIV/AIDS SERVICE PROVIDERS
supported by Title I, Ryan White CARE Act

INTRODUCTION

BACKGROUND ON CARE ACT

     In 1990, Congress passed P.L. 101-381, the Ryan White 
Comprehensive AIDS Resources Emergency (CARE) Act, to 
improve the quality and availability of care for individuals 
and families with HIV disease who have no other access to 
such care. This includes people living with HIV/AIDS who are 
low income, and uninsured or underinsured. The CARE Act is 
administered by the Health Resources and Services 
Administration (HRSA). 

     The four Titles of the Act direct grant support as 
follows: 

        *  Title I supports emergency service needs of 
           Eligible Metropolitan Areas (EMAs) with the 
           largest number of reported cases of AIDS;

        *  Title II supports States to improve the quality, 
           availability, and organization of health care and 
           support services. It also supports a separate 
           competitive grant program of Special Projects of 
           National Significance (SPNS) to advance knowledge 
           and skills in the delivery of health and support 
           services to persons with HIV infection;

        *  Title III(b) funds early intervention services 
           through national competitive grant awards; and

        *  Title IV, funded for the first time in fiscal 
           year 1994, supports research and service 
           demonstrations for pediatric HIV patients.

DEVELOPMENT OF GUIDE 

     This Guide was developed for medical and support 
service providers, and people living with HIV/AIDS. It 
lists services and providers supported by Ryan White 
Title I funding in EMAs with large HIV/AIDS caseloads 
and, for each provider, gives addresses, phone numbers, 
contacts and a brief description of available services. 

     At the end of 1993, each of the 25 EMAs receiving 
Title I grants that year reported on the providers they 
had contracted with to serve people living with HIV. 
These lists were verified, data were entered, and early 
in 1994, HRSA contacted each EMA, including the nine 
cities receiving Ryan White grants for the first time in 
1994, asking them to revise their provider listing, or, 
in the case of the new EMAs, to provide a listing of 
service providers.

     This Guide lists EMAs alphabetically by City, and 
service providers alphabetically within each EMA. Each 
EMA's section starts with the name, address, and contact 
person for the grant, a brief background the EMA's 
demographics, and history of the HIV epidemic in the EMA.

     Appendix A is a listing of the service category 
definitions provided by HRSA to guide EMA reporting. When 
a directory entry describes a service very briefly, 
referring to these definitions may be helpful. Some EMAs 
went well beyond these definitions to include broader 
descriptions of services provided by subcontractors.

HOW EMAs WORK

     Metropolitan areas are eligible for Title I grants 
when they report 2,000 or more cumulative cases of AIDS 
to the Centers for Disease Control and Prevention (CDC), 
or a per capita incidence of .0025. Title I grants are 
based on reports made by March 31 of the most recent 
fiscal year (thus, 1994 grants are based on cases 
reported by March 31, 1993). 

     Grants are awarded to the Chief Elected Official 
(CEO) of the EMA, who must establish an HIV Health 
Services Planning Council. That Council establishes 
priorities for awarding Title I grants in the area, 
develops a plan for organizing and delivering HIV health 
services, and assesses how efficiently the city allocates 
funds to areas of greatest need. Council membership must 
represent the community of HIV/AIDS providers and people 
affected and infected by HIV.

     The EMAs use various procedures to contract with 
public and non-profit entities that then provide 
outpatient and ambulatory health and support services, 
determined by the Planning Council as priorities for area 
residents living with HIV. These can cover a wide range 
of services, from primary medical care to transportation, 
food, in-home services and hospice care.

USING THE GUIDE

     HRSA developed this Guide to assist providers of 
HIV/AIDS care and people seeking such care. Though HIV 
service providers within one city are usually 
knowledgeable about other area resources to whom they can 
refer patients, they are not as familiar with resources 
in other cities. So, when a patient is moving to another 
city listed here, the provider can make referral 
suggestions. For people with HIV who are seeking 
additional resources and care providers, or their friends 
and relations, this Guide can be a valuable resource.

     A comprehensive, alphabetical index of service 
providers by EMA currently is being developed, and will 
be sent to all Title I grantees as soon as it is 
completed.

     Every effort has been made to ensure accuracy of the 
listings. However, changes do occur and people using this 
Guide may find that addresses, phone numbers, personnel, 
and even services may not be as listed here. In those 
cases, we would appreciate hearing from you. We would 
also appreciate receiving your comments and suggestions 
on ways to improve this document.

Please send suggestions, additions and corrections to:

Health Resources and Services Administration
5600 Fishers Lane, Room 7-46
Rockville, MD 20857
Attn: Dorothy Bailey
(301) 443-6652; FAX (301) 443-0791


January 1995