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Ryan
White HIV/AIDS Program, Part F: Dental Reimbursement
Program
| |
FY
2007
Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
| BA |
$13,086,000
|
$12,857,000
|
$12,857,000
|
--- |
Authorizing
Legislation: Title XXVI, Section 2692 (b) of the Public
Health Service Act, as amended.
| FY
2009 Authorization |
$13,000,000 |
| Allocation
Method |
Competitive
Grants |
Program
Description and Accomplishments
The
HIV/AIDS Dental Reimbursement Program provides access
to oral health care for people living with HIV/AIDS
by reimbursing dental education programs for the nonreimbursed
costs they incur providing such care. By offsetting
the costs of non-reimbursed HIV care in dental education
institutions, the Dental Reimbursement Program improves
access to oral health care for people living with
HIV and trains dental and dental hygiene students
and dental residents to provide oral health care services
to people living with HIV. The care provided through
the program includes a full range of diagnostic, preventive,
and treatment services, including oral surgery, as
well as oral health education and health promotion.
The Community-Based Dental Partnership Program supports
collaborations between dental education programs and
community-based partners to deliver oral health services
in community settings while training students and
residents enrolled in accredited dental educations
programs. Dental schools, post-doctoral dental education
programs, and dental hygiene education programs accredited
by the Commission on Dental Accreditation that have
documented non-reimbursed costs for providing oral
health care to people living with HIV are eligible
to apply for reimbursement. Funds are then distributed
to eligible organizations taking into account the
number of people served and the cost of providing
care.
In FY 2006, the Dental Reimbursement Program awards
met 42.3% of the total non-reimbursed costs reported
by 68 participating institutions in support of oral
health care. These institutions reported providing
care to 34,394 HIV-positive individuals, for whom
no other funded source was available. This number
exceeded the goal by 7,894 individuals or 29.8%. This
represents a 10.8% increase from FY 2005 for persons
whom a portion/percentage of their unreimbursed oral
health costs was reimbursed. The Community Dental
Partnership Program funded 12 partnership grants to
collaborate and coordinate between the dental education
programs and the community-based partners in the delivery
of oral health services. Community-Based Dental Partnership
grants are intended for a period of up to three years.
In FY 2005, the demographic characteristics of patients
who were cared for by institutions participating in
the DRP were: 33.3% women, 61.6% minority. Therefore,
the DRP served a higher proportion of women than the
representation of women among all AIDS cases in the
nation, as reported by CDC. CDC reports 24% of AIDS
cases in 2005 were among women and 64.1% of AIDS cases
were among racial/ethnic minorities.
Program
Assessment Rating Tool: The Dental Reimbursement
Program was included in the combined PART reassessment
conducted in 2007 for the Ryan White HIV/AIDS Program.
The Program received an Effective rating. See Summary
of Request for more details.
Funding
includes costs associated with grant reviews, processing
of grants through the Grants Administration Tracking
and Evaluation System (GATES) and HRSA’s electronic
handbook, and follow-up performance reviews.
Funding
History
| FY
|
Amount |
| FY
1999 |
$ 7,798,000 |
| FY
2000 |
$
7,999,000 |
| FY
2001 |
$
9,999,000 |
| FY
2002 |
$13,493,000 |
| FY
2003 |
$13,405,000 |
| FY
2004 |
$13,325,000
|
| FY
2005 |
$13,218,000
|
| FY
2006 |
$13,077,000 |
| FY
2007 |
$13,086,000 |
|
FY 2008 |
$12,857,000 |
Budget
Request
The
FY 2009 Request of $12,857,000 is equal to the FY
2008 Enacted level. These funds will continue to support
the reimbursement of applicant institutions, outreach
to people with HIV/AIDS who need dental care, and
continued efforts to improve service coordination
among reimbursement recipients and other community-based
health service providers. Currently, the Dental Reimbursement
Program reimburses approximately 42 percent of the
costs associated with the more than 34,000 people
with oral health needs served by accredited dental
schools and other graduate dental education programs.
The FY 2009 target for the number of persons for whom
a portion/percentage of their unreimbursed oral health
costs will be reimbursed is 34,394.
| # |
Key Outputs
|
FY 2004 Actual |
FY 2005 Actual |
FY 2006 |
FY 2007 |
FY 2008 Enacted |
FY 2009 Target/Est. |
| Target/ Est. |
Actual |
Target/ Est. |
Actual |
| Long – Term Objective:
Promote Access to Health Insurance and Maximize
Use of Available Reimbursements for Health Care
Services |
| 22.I.D.1. |
Number of persons for whom a portion/ percentage
of their unreimbursed oral health cost were reimbursed. |
30,598 |
31,050 |
26,500 |
34,394 |
30,600 |
Apr-08 |
34,394a |
34,394 |
| |
Community-Based Dental Partnership Programs |
12 |
12 |
|
12 |
|
12 |
12 |
12 |
| |
Appropriated Amount ($ Million) |
$13.33 |
$13.22 |
|
$13.08 |
|
$13.09 |
$12.86 |
$12.86 |
Notes:
| a |
This FY 2008 target was changed
from that shown in the FY 2008 Congressional Justification
to be consistent with recent performance. |
|
