Specifications include, but are not limited to: Non-Medical Case Management Services is the provision of a range of client-centered activities focused on improving access to and retention in needed core medical and support services. Non-Medical Case Management Services provides coordination, guidance, and assistance in accessing medical, social, community, legal, financial, employment, vocational, and/or other needed services. Non-Medical Case Management Services may also include assisting eligible clients to obtain access to other public and private programs for which they may be eligible, such as Medi-Cal, Medicare Part D, AIDS Drug Assistance Program (ADAP), Office of AIDS (OA) Health Insurance Premium Payment (OA-HIPP), Disability Insurance, Housing Opportunities for Persons With AIDS (HOPWA), Social Security, Pharmaceutical Manufacturer’s patient assistance programs, Covered California, or other state or local health care and supportive services. Non-Medical Case Management Services includes all types of case management encounters (e.g., face-to-face, telehealth, phone contact, and any other forms of communication). Case management should be delivered in close coordination with medical providers. Health Insurance Premium & Cost Sharing Assistance is the provision of financial assistance for eligible individuals living with HIV to maintain a continuity of health insurance or to receive medical benefits under a health insurance program. This includes premium payments, risk pools, co-payments, and deductibles. Emergency Financial Assistance is the provision of short-term payments to agencies or establishment of voucher programs to assist with emergency expenses related to essential utilities when other resources are not available. Emergency Financial Assistance also includes the provision of payments for essential medications that are not covered through other funding sources such client insurance or the AIDS Drug Assistance Program.
