By, Rebecca Levin
On Monday, house Republicans revealed their alternative to the Affordable Care Act (ACA). The American Health Care Act (AHCA) involves multiple reversals to ACA policies and will affect many Americans. Here are some useful resources we’ve identified to help digest what exactly these changes are and how they will affect people living with HIV:
- This New York Times article lays out, point by point, the changes from the ACA to the AHCA.
- POZ Magazine’s analysis looks at the present and future effects of the AHCA on people with HIV.
- Vox’s article is easy to understand and covers how the plan will affect patients with chronic illnesses, like HIV.
- The Kaiser Family Foundation’s Interactive Map compares the tax credits under the Affordable Care Act to the tax credits under the American Health Care Act.
- The Center on Budget and Policy Priorities’ article takes an in-depth look at how the Medicaid per capita cap would affect coverage.
- The Western Center on Law and Poverty’s two pager discusses how the AHCA will cause changes to Medi-Cal coverage and shift major financial burden to California.
By, Rebecca Levin
The California Department of Public Heath (CDPH) has terminated its contract with A.J. Boggs for AIDS Drugs Assistance Program (ADAP) administration.
Effective March 6, 2017, CDPH will directly provide all ADAP eligibility and enrollment services. CDPH is in the process of developing a new enrollment portal, call center, and data processing center for program administration.
The termination of the A.J. Boggs’ contract does not require any action from ADAP clients, but it will cause important changes to enrollment workers’ processes in the following weeks. Clients and providers should keep in mind the following information:
If You Are a Client:
- The benefits you are receiving, the enrollment worker you work with, and the pharmacy you use will not be impacted by this change.
If You Are an Enrollment Worker:
- Through 5pm March 3, 2017, continue submitting documentation to A.J. Boggs and calling the A.J. Boggs support team (Ph: 844-550-3944, Fax: 844-666-1411)
- Beginning Monday, March 6th
- Call 844-421-7050 for questions regarding eligibility or ADAP enrollment.
- Fax documents related to Medical Out-of-Pocket Claims to Pool Administrators Inc. at 860-560-8225.
- For questions regarding medication access at the pharmacy, call Magellan 24 hours a day, 7 days a week at 800-424-5906.
- If you previously sent information to A.J. Boggs and have not heard back, please fax the information to CDPH at 844-421-8008.
- Beginning the week of March 13th, the Office of AIDS will start providing enrollment workers training and access to the new enrollment portal.
- OA-HIPP documentation should be submitted directly to the appropriate OA-HIPP Analyst or faxed to OA-HIPP at (916) 440-5490.
By, Rebecca Levin
The first month of 2017 is almost gone, and with it, the open enrollment window for health insurance. The time to enroll is now. Be sure to enroll in a health insurance plan through Medi-Cal benefits by January 31 to access benefits in 2017.
If you attempt to enroll by January 31st and do not complete your application, you have until February 4th to complete your Open Enrollment application to receive benefits.
Keep in mind that Covered California might not be your only option. Medi-Cal offers year round enrollment and can pay for treatment and medication. You might qualify for Medi-Cal benefits if you:
- Have an annual income that is below 138% the poverty level ($16,395 for a single adult)
- Are 65 or older
- Are blind or disabled
- Are under 21 (or are a parent, caretaker relative, of a child under 21) or
- Are pregnant
PRC’s Equal Access to Healthcare Program is here to help HIV+ San Francisco residents who have problems accessing healthcare. Give us a call at 415-777-0333 for help and more information.