OVERVIEW OF SERVICES AVAILABLE THROUGH KENTUCKY’S

OVERVIEW OF SERVICES AVAILABLE THROUGH KENTUCKY'S RYAN WHITE AND STATE-FUNDED SERVICES PROGRAMS

Purpose: The intent of the KHCCP is to facilitate the provision of quality care and services to HIV infected individuals and their families in a timely and consistent manner across a continuum of care. The program provides Care Coordinators in six regional sites through arrangements with 4 local health departments (Barren River, Cumberland Valley, Lexington, and Northern Kentucky) and two non-profit agencies (Louisville and Purchase) to aid the client in identifying and accessing needed services. These regional sites allow for statewide coverage, and better local access to these services. KHCCP also acts as an umbrella program for other client assistance programs such as the Kentucky Health Insurance Assistance, Outpatient Health Care and Support Services, and the State Support Services Programs. (Continuation of all programs is contingent upon continued state and federal funding.)

To optimize the client's self-care capabilities by empowering him/her to direct his/her own life decisions.
To identify the extent of the client's informal support systems.
To assist the client in locating and accessing existing services in areas including entitlement benefits (Medicaid and/or Social Security Disability Services), medical care, housing, counseling, transportation, legal and nutrition services.
To identify and establish a referral system with area health care and social service providers and community-based HIV organizations, and HIV counseling and testing sites.
To ensure that duplication of services by formal and informal support systems does not occur.
To provide the client with educational information regarding disease transmission and maintenance of a healthy lifestyle, and encourage and reinforce good health habits and secondary prevention methods over the course of case management.
To identify and document patterns of service needs and advocate for effective policies and resource development.
To facilitate the initial and on-going education of health care and social service providers to the issues surrounding HIV disease.
To ensure that program funding is appropriately used to meet the documented needs of HIV+ persons throughout the State in a manner that coordinates funding streams and makes use of existing community resources and services.

Household Income—300% of federal poverty level, or less.
Household Resources—cash assets of less than $10,000.
Client Residency—must be a resident of Kentucky.
Medical Documentation—HIV+ status must be confirmed with appropriate documentation. (For KADAP participation, medical documentation must also include CD4⁺ T cell count and viral load.)
Lack of Other Third Party Payer--must be ineligible for assistance from other third party payers for the assistance being requested.

This program assists low-income, eligible Kentuckians with the purchase of AIDS-related medications prescribed for FDA-approved indications. Drugs currently covered are: abacavir (Ziagen); acyclovir (Zovirax); amprenavir (Agenerase); AZT (Retrovir); ciprofloxacin (Cipro); clarithromycin (Biaxin); clotrimazole (Mycelex); dapsone; ddC (HIVID); ddI (Videx); delavirdine (Rescriptor); efavirenz (Sustiva); fluconazole (Diflucan); hydrea (Hydroxyurea); indinavir (Crixivan); ketoconazole (Nizoral); lamivudine (3TC, Epivir); lamivudine/zidovudine (Combivir); megestrol acetate (Megace); nelfinavir (Viracept); nevirapine (Viramune); nystatin (Mycostatin); pentamidine (NebuPent); rifabutin (Mycobutin); ritonavir (Norvir); saquinavir (Invirase & Fortovase); stavudine (Zerit, d4T); trimethoprim and sulfamethoxazole (Bactrim and Septra); Zithromax (Azithromycin); Kaletra (Lopinavir, Ritonavir); and Trizivir (Abacavir sulfate, Lamivudine, Zidovudine). Once approved, eligible applicants receive formulary medications through a mail-order pharmacy service provided by U of L Outpatient Pharmacy. NOTE: Effective 2/1/00, a waiting list was established for this program.

This program provides payments for the continuation of health insurance benefits for eligible individuals and their families who are at risk of losing their employment-related or private-pay health insurance because of HIV disease.

These programs provide assistance for eligible individuals with a wide range of community-based medical and non-medical support services, such as, but not limited to, physical and mental health care, housing, nutrition, and transportation services. From the list of eligible services, priority services are identified during each funding period, based on such factors as client and Care Coordinator input, needs assessment survey results, resource inventories, client satisfaction surveys, and funding limitations.

The overall intent of the services programs is to provide clients with a continuum of care utilizing existing community-based services to the greatest extent possible.

Care Coordinator Programs by Region (Including the Area Development Districts and Counties Covered by the Region):

Barren River Region—Barren River Dist. Health Dept., PO Box 1157 (1109 State Street), Bowling Green, KY 42101-1157

(270) 781-8039 (tel) & (800) 559-4448 (for client use only); (270) 796-8946 (fax).

Area Development Districts Covered: Barren River, Green River, and Lincoln Trail

Cumberland Valley Region—Cumberland Valley District Health Dept. 408 N Main St Suite 5, London, KY 40741

(606) 864-3776 (tel) and (888) 425-7282 (for client use only); (606) 864-3732 (fax).

Area Development Districts Covered: Lake Cumberland, Cumberland Valley, Kentucky River, and Big Sandy

*Counties Covered:*
Adair	Clinton	Jackson	Lee
McCreary	Rockcastle	Wolfe	Bell
Cumberland	Johnson	Leslie	Owsley
Russell	Breathitt	Floyd	Knott
Letcher	Perry	Taylor	Casey
Green	Knox	Magoffin	Pike
Wayne	Clay	Harlan	Laurel
Martin	Pulaski	Whitley

Lexington Region—based in Lexington-Fayette Co. Health Dept., 650 Newtown Pike, Lexington, KY 40508-1197

(859) 288-7523; (859) 288-7525; (859) 288-2374; (877) 606-2437 (tel for client use only) (859) 288-7512 (fax).

Area Development Districts Covered: Bluegrass, Buffalo Trace, FIVCO, and Gateway

*Counties Covered:*
Anderson	Bracken	Fayette	Harrison
Madison	Morgan	Scott	Bath
Carter	Fleming	Jessamine	Mason
Nicholas	Woodford	Bourbon	Clark
Franklin	Lawrence	Menifee	Powell
Boyd	Elliott	Garrard	Lewis
Mercer	Robertson	Boyle	Estill
Greenup	Lincoln	Montgomery	Rowan

Louisville Region—based in Volunteers of America of KY (VOA), 850 Barret Ave., Suite 302, Louisville, KY 40204

Counties Covered: Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer, and Trimble

Northern Kentucky Region—based in Northern KY Dist. Health Dept. 2388 Grandview Drive, Fort Mitchell, KY 41017

Counties Covered: Boone, Campbell, Carroll, Gallatin, Grant, Kenton, Owen, and Pendleton

Purchase Region—based in Pennyrile Allied Community Services (PACS), PO Box 1102, Princeton, KY 42445

For more information, contact the nearest Care Coordinator, or Laurel Walls, Grant Administrator or Vicki Johnson, Program Administrator, (502) 564-6539 or (800) 420-7431 (voice/TTY).

Counties Covered:
Allen	Daviess	Hardin	Logan
Metcalfe	Simpson	Webster	Barren
Edmonson	Hart	McLean	Monroe
Union	Breckinridge	Grayson	Henderson
Marion	Nelson	Warren	Butler
Hancock	Larue	Meade	Ohio
Washington

*Counties Covered:*
Ballard	Carlisle	Fulton	Hopkins
McCracken	Todd	Caldwell	Christian
Graves	Livingston	Marshall	Trigg
Calloway	Crittenden	Hickman	Lyon
Muhlenberg