• Eligibility
  EMAs must have reported at least 2,000 AIDS cases during the previous 5 years and have a population of at least 500,000.



• Funding
  In FY 2005, $587.4 million was appropriated for Part A spending, $24.5 million of which was awarded to Miami, Florida. Part A funding to EMAs includes formula and supplemental components, and Minority AIDS Initiative (MAI) funds targeted for services to minority populations.



• Services
  
  • Outpatient and ambulatory health services including substance abuse and mental health treatment.
  • Outpatient and ambulatory support services including case management to facilitate, enhance, support or sustain delivery, continuity or benefits of health services.
  • Early intervention including outreach and referral services.
  • Miami-Dade County Part A Services and Providers
  
  
• Planning Councils  The Miami-Dade HIV/AIDS Partnership is the local planning council. Planning council duties include:
  
  • Setting priorities and allocating funds for services.
  • Developing a comprehensive plan for the provision of services including strategies for identifying HIV-positive persons not in care and strategies for coordinating services to be funded with existing prevention and substance abuse treatment services.
  • Maintaining membership that reflects the local epidemic and includes members with specific expertise in HIV/AIDS prevention, housing and care & treatment, and representatives of other Ryan White CARE Act and Federal programs. At least 33 percent of the members must be people living with HIV/AIDS who are consumers of CARE Act services.

• Ambulatory health care
• Home-based health care
• Insurance coverage
• Medications
• Support services
• Outreach to HIV-positive individuals who know their HIV status
• Early intervention services
• HIV Care Consortia, which assess needs and contracts for services

• Medications for the treatment of HIV diseases
• Health insurance for eligible clients
• Services that enhance access, adherence, and monitoring of drug treatments

• Public or private nonprofit entities that are or intend to become comprehensive HIV primary care providers
• Current Ryan White CARE Act service provider grantees that have been grantees for no more than three years and are serving communities of color, rural or underserved areas
• Faith-based and community-based organizations

• Identify, establish and strengthen clinical, administrative, managerial, and management information system (MIS) structures
• Develop a financial management unit within the funded organization
• Develop and implement a clinical continuous quality improvement (CQI) program
• Purchase clinical supplies and equipment for the purpose of developing, enhancing, or expanding HIV primary care services
• Develop a strategic plan to address managed care changes or changes in the HIV epidemic in the grantee's community

• Community Health Centers, Migrant Health Centers, and Health Care for the Homeless sites funded under Section 330 of the Public Health Service (PHS) Act
• Family planning grantees (other than States) funded under Section 1001 of the PHS Act
• Comprehensive Hemophilia Diagnostic and Treatment Centers
• Federally qualified health centers funded under Section 1905(1)(2)(b) of the Social Security Act
• Current public or private not-for-profit providers of comprehensive primary care for populations at risk for HIV
• Faith-based and community-based organizations

• Risk-reduction counseling on prevention, antibody testing, medical evaluation, and clinical care
• Antiretroviral therapies; protection against opportunistic infections; and ongoing medical, oral health, nutritional, psychosocial, and other care services for HIV-infected clients
• Case management to ensure access to services and continuity of care for HIV-infected clients
• Attention to other health problems that occur frequently with HIV infection, including tuberculosis and substance abuse

• Primary and specialty medical care
• Psychosocial services
• Logistical support and coordination
• Outreach and case management

• Obstetrics/Gynecology (305) 243-5509
• Pediatric Medicine (305) 243-6676
• Adolescent Medicine (305) 243-5880

• Dental schools
• Post-doctoral dental education programs such as hospital-based residencies
• Dental hygiene education programs that are accredited by the Commission on Dental Accreditation
and have documented non-reimbursed costs incurred in providing oral health care to HIV-positive persons.

• Diagnostic and preventive oral health education and health promotion
• Restorative services
• Periodontal services
• Prosthodontic services
• Endodontic services
• Oral surgery
• Oral medicine

• Dental schools
• Postdoctoral dental education programs, as described in 777(b)(4)(B) of the Health Professions Partnerships
• Education Act of 1998
Dental hygiene programs that are accredited by the Commission on Dental Accreditation

• Provide oral health services for individuals with HIV
• Establish and manage clinical rotations for students and residents in community-based settings
• Collaborate and coordinate between the dental education programs and the community-based partners in the delivery or oral health services
• Collect, manage, and report data that will assess/describe the service delivery and educational components of the funded programs
• Ensure patient confidentiality and the establishment and review of a system for control of records of HIV positive patients

• Assess the effectiveness of particular models of care
• Support innovative program designs
• Promote duplication of effective program outcomes

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• Physicians
• Physician assistants
• Nurses
• Nurse practitioners
• Dentists
• Pharmacists

who serve:
• Minority populations
• The homeless
• Rural communities
• Incarcerated persons
• Ryan White CARE Act-funded sites

• Florida Infectious Disease Institute
• National Minority AIDS Education and Training Center (NMAETC)
• AETC National Resource Center (NRC)
• National HIV/AIDS Clinicians' Consultation Center (NCCC)
• National Evaluation Center