2015 FUNDING STREAMS OVERVIEW

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1 2015 FUNDING STREAMS OVERVIEW FOR HIV SERVICES Boston Ryan White Part A Eligible Metropolitan Area Planning Council May 14, 2015 Boston EMA Health Services Planning Council Support

2 FUNDING STREAMS REPORT AIMS Offer information on funding available to provide HIV related services so the Planning Council may make informed decisions related to Part A funding levels. Provide an inventory of all funding identified. Identify funds provided for core medical services and for support services.

3 METHODS A survey was sent to agencies known to provide HIV related funding as well as agencies that provide HIV core and support services in the Boston EMA. Information sought on: level of funding, and distribution of funding by service category. Data were collected and analyzed.

4 FUNDING STREAMS This Funding Streams report splits the sources of funding operating within the Boston EMA into four groups: 1. Ryan White Funds (Part A,B,C,D,F), 2. Other Federal Funds 3. State Funds (MA, NH) 4. Private Funds Within the main sources of funding, PCS identified: 15 funding streams operating in the Boston EMA, and 61 providers. A total of $250,581,926 was identified as being used to fund HIV services in the Boston EMA during the most recent year available.

5 PUBLIC FUNDING AVAILABLE FOR HIV SERVICES IN THE BOSTON EMA ($250,267,857)* $119,394,490 $97,093,294 $33,780,074 13% 39% 48% Ryan White (A,B,C,D,F) Other Federal State (MA & NH) *Does not include Medicare and VA funding

6 TOTAL FUNDING AVAILABLE FOR HIV SERVICES IN THE BOSTON EMA($250,581,926)* Funding Source 2015 Total Allocation Percentage of 2015 Total Allocation Part B $13,940,091 6% Part A $12,080,070 5% Part C $5,111,727 2% Part D $1,760, % Part F $887, % Medicaid $88,890,150 35% HUD/HOPWA $5,738,672 2% SAMHSA $144, % CDC $2,319, % MA Medicaid $87,470,646 35% MA AIDS $26,754,535 11% NH AIDS $2,566,401 1% NH Medicaid $1,419, % MA Substance Abuse $1,183, % Private $314, % Total $250,581, % *Does not include Medicare and VA funding Part B 41% Part A 36% Medicaid 92% State Medicaid 73%

7 HRSA DEFINED CORE MEDICAL SERVICES IN THE BOSTON EMA VS. 2015* Service Categories ADAP $20,236,870 $20,484,560 Early Intervention Services (EIS) $13,081,577 $12,517,327 Health Insurance Premium $54,139 $621,122 Home Health Care $25,162,101 $32,285,139 Home & Community-Based health Services $6,943,873 $8,572,151 Hospice Services $1,328,169 $1,573,581 Medical Case Management $15,250,955 $16,808,315 Medical Nutrition Therapy $841,102 $1,155,291 Mental Health $4,142,991 $3,496,328 Oral Health Care $3,634,908 $4,364,691 Outpatient Ambulatory Medical Care $116,515,283 $122,543,444 Substance Abuse Services - Outpatient $1,698,351 $1,688,189 TOTAL $208,890,320 $226,110,138 *The total includes private funding, but not Medicare or VA funding

8 HRSA DEFINED SUPPORT MEDICAL SERVICES IN THE BOSTON EMA VS. 2015* Service Categories Case Management, Non-Medical $2,388,466 $2,397,591 Emergency Financial Assistance $120,152 $340,743 Food Bank/Home-Delivered Meals $1,629,434 $1,693,929 Health Education/Risk Reduction $98,829 $208,588 Housing Services $4,039,410 $4,822,951 Legal Services $518,730 $442,709 Linguistic Services $38,706 $68,319 Medical Transportation Services $7,643,499 $7,986,010 Outreach Services $84,454 $95,331 Psychosocial Support $2,109,790 $2,392,126 Referral for Health Care/Supportive Services $455,050 $39,172 Rehabilitation Services $1,489,168 $1,924,125 Substance Abuse Services - Residential $1,900,398 $2,037,244 Treatment Adherence Counseling $0 $22,951 TOTAL $22,516,470 $24,471,789 *The total includes private funding, but not Medicare or VA funding

9 HRSA SERVICE CATEGORY BREAKDOWN IN THE BOSTON EMA ALL FUNDING STREAMS ($250,581,926)* RYAN WHITE PART A ($12,080,070) Support Services 10% Core Services 90% Support Services 32.31% Core Services 67.69% *The total includes private funding, but not Medicare or VA funding

10 TOTAL PUBLIC FUNDING ALLOCATION TO BOSTON EMA CORE AND SUPPORT SERVICES ($250,267,857)* $250,000,000 $200,000,000 $150,000,000 $100,000,000 $50,000,000 $0 CORE Services SUPPORT Services Ryan White (A,B,C,D,F) $28,458,132 $5,321,942 State (MA & NH) $110,661,802 $8,732,688 Other Federal $86,929,704 $10,163,590 *Does not include Medicare and VA funding

11 TOP PRIVATE FUNDERS ($314,069) Foundation Name Dollar Amount Number of Recipients EPT Trust $104,000 1 Broadway Cares- Equality Fights AIDS $35,500 5 MAC AIDS $35,000 2 BNY Mellon $30,000 1 Old South Church $21,109 1

12 PRIVATE FUNDING HOW THE MONEY IS SPENT? Core 19% Support 81% Core: $ 60,500 Support : $253,569

13 FUNDING STREAMS SUMMARY In 2015 a total of $250,581,926 was identified to fund HIV related services. Funding in some categories such as mental health has decreased. Private funding that was identified focuses on support services Limitations: A good response was received, but some major funding sources are missing such as Medicare and the VA. Obtaining funding information is challenging. Not all agencies disclose the total of funding they have for HIV related services. Limited information on private funding was identified.

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