NATIONAL ADAP MONITORING PROJECT - AIDS United

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Private Ins Medicare Medicaid Chart 11 ADAP Clients, by Insurance Status, June 2001 Forty-six jurisdictions, representing 43,087 or 56% of June 2001 ADAP clients, reported data on client insurance status. The majority of ADAP clients continue to lack private or public insurance. Eleven percent of ADAP clients served in June 2001 had private insurance, similar to last year’s report (10%). About 6% of the total were reported to be Medicaid beneficiaries (including individuals in the Medicaid spenddown process). Approximately 10% of ADAP clients were reported to be Medicare beneficiaries—up 2% compared to June 2000 ADAP clients. Jurisdictions were not asked to report/estimate the number of dually covered (Medicaid and Medicare) ADAPs clients (see Appendix VI). 25 6% 10% 11% 0% 2% 4% 6% 8% 10% 12% Note: California, Colorado, Connecticut, Florida, Illinois, Montana, Oregon, and Puerto Rico not included. Insurance categories are not mutually exclusive.
Chart 12 Health Status of ADAP Clients Enrolled During 12-Month Period, FY 2001 200–350 17% >500 21% 351–500 14% Unknown 6% ADAP programs were asked to provide the disease status at the time of enrollment for the population of clients who enrolled in ADAP over a recent 12-month period. Twenty-five jurisdictions were able to provide these data, representing 29,219 ADAP clients (42% of the June 2001 utilizing population). The majority of states reported data collected between May 2000 and September 2001 except Kansas, Oklahoma, and Vermont (see Appendix VII). In addition, a number of states require annual re-enrollment for ADAP clients. As a result, figures do not necessarily reflect new clients exclusively. More than four in ten (42%) ADAP clients have a CD4 count below 200, an AIDS diagnosis, or symptomatic HIV infection—suggesting that a significant number of ADAP clients continue to enroll well into disease progression. One fifth (21%) of clients have a CD4 count above 500. For purposes of the 2001 Survey, health status was defined by the following categories: • AIDS (ever diagnosed)—clients that have an AIDS diagnosis regardless of current CD4 count or being currently asymptomatic. • CD4 200)—clients who may currently be experiencing symptoms but have not met the criteria for an AIDS diagnosis. • CD4 200–350 (not AIDS nor symptomatic HIV)—clients whose CD4 count is within this range and is not symptomatic nor has an AIDS diagnosis.** • CD4 351–500 (not AIDS nor symptomatic HIV)—client whose CD4 count is within this range and is not symptomatic nor has an AIDS diagnosis.** • CD4 >500 (not AIDS nor symptomatic HIV)—client whose CD4 count is above 500 and is not symptomatic nor has an AIDS diagnosis. 26 AIDS Diagnosed 19% 200) 5% Note: see Appendix VII for list of states/territories that provided data on ADAP client health status. *Because CD4 counts can fluctuate rapidly on HAART, some physicians may not diagnose a client with AIDS although their CD4 count is below 200, meeting a CDC criteria for an AIDS diagnosis. **The current Department of Health and Human Services Guidelines for the Use of Antiretroviral Agents in HIV Infected Adults and Adolescents recommend that treatment with antiretrovirals may be delayed, in some cases, until a person’s CD4 count is at or below 350. These guidelines, and consultation with ADAP Directors, determined the current ranges specified on the 2001 survey.
Page 1 and 2: NATIONAL ADAP MONITORING PROJECT AN
Page 3 and 4: NATIONAL ADAP MONITORING PROJECT AN
Page 5 and 6: National ADAP Monitoring Project: A
Page 7 and 8: Introduction Spending on prescripti
Page 9 and 10: • ADAPs continue to serve a low-i
Page 11 and 12: State-by-State Summary ADAP Profile
Page 13 and 14: States/Territories with Current or
Page 15 and 16: Charts
Page 17 and 18: Chart 2 ADAP Drug Expenditures and
Page 19 and 20: Millions of Dollars Chart 4 Trends
Page 21 and 22: Chart 6 ADAP Drug Expenditures, by
Page 23 and 24: Chart 8 ADAP Clients, by Race/Ethni
Page 25: Unknown >400% FPL 301-200% FPL 201-
Page 29 and 30: Millions of Dollars Milions of Doll
Page 31 and 32: Millions in Dollars Millions in Dol
Page 33 and 34: Millions in Dollars Millions in Dol
Page 35 and 36: Chart 20 ADAP Cost Recovery Resourc
Page 37 and 38: Serving almost 77,000 largely unins
Page 39 and 40: Appendices
Page 41 and 42: Total Clients Served, Expenditures
Page 43 and 44: Appendix II ADAP Expenditures, By C
Page 45 and 46: ADAP Expenditures, By Class, June 2
Page 47 and 48: Prescriptions Filled, by Class, Jun
Page 49 and 50: Appendix IV Race/Ethnicity of June
Page 51 and 52: Appendix V Gender and Age of June 2
Page 53 and 54: Appendix VI Income Level and Insura
Page 55 and 56: Income Level and Insurance Status o
Page 57 and 58: Health Status of ADAP Clients Enrol
Page 59 and 60: ADAP Budget FY 2001: Federal and St
Page 61 and 62: Appendix IX ADAP Budgets for FY 200
Page 63 and 64: Appendix X Major FY 2001 Budget Cat
Page 65 and 66: Major FY 2001 Budget Categories Com
Page 67 and 68: Alabama ADAP FORMULARIES ANTIRETROV
Page 69 and 70: Connecticut ADAP FORMULARIES ANTIRE
Page 71 and 72: Distric of Columbia ADAP FORMULARIE
Page 73 and 74: Illinois ANTIRETROVIRALS NRTIs- aba
Page 75 and 76: Maine ADAP FORMULARIES ANTIRETROVIR
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Mississippi ANTIRETROVIRALS NRTIs-
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New Hampshire ADAP FORMULARIES ANTI
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New York ADAP FORMULARIES ANTIRETRO
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Oklahoma ADAP FORMULARIES ANTIRETRO
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Rhode Island ADAP FORMULARIES ANTIR
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Vermont ADAP FORMULARIES ANTIRETROV
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Wisconsin ADAP FORMULARIES ANTIRETR
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NATIONAL ADAP MONITORING PROJECT - AIDS United

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