Nicole presented a summary of the allocations process at the June 2016 meeting of the Positive Committee. The Ryan White Part A FY2017-2018 allocations meetings for the 3 regions of the Philadelphia EMA will be held in June at the Office of HIV Planning.

1. Understanding the Allocation process

2. Planning Council
budgets to Service
Categories
AACO contracts
with service
providers
Feds grant funds
based on epidemic
and grant application

3. Deciding how to divide the EMA’s grant
money is like deciding how to cut a pie.

5. 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

6. ▪ 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

7.  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

8. Transportation $438,288
Food Bank/Home-Delivered Meals $311,927
Housing Assistance $584,613
Legal Services (Other Professional Services)
$398,676
Emergency 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.

9. 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.

10. Finance Committee members chair the meeting
Everyone has the opportunity to speak to offer ideas and
suggestions at the appropriate time
4 budgets are drafted:
Level Funding (exactly the same amount)
5% Decrease
5% Increase
10% Increase
Only Planning Council members present can vote on the
region’s drafts

11.  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