1. Through the Ryan White Comprehensive AIDS Resources Emergency (Care) Act (RWCA), improve accessibility and quality of care for all persons living with HIV.
2. Develop comprehensive and participatory planning processes at the state and local levels to guide funding allocation decisions. Increase patient access to clinical research.
3. Establish quality guidelines and evaluate program effectiveness.

1. Support comprehensive outpatient, ambulatory health and support services, case management, and inpatient case management services that prevent unnecessary hospitalization or expedite discharge (RWCA Title I);
2. Support consortia to improve the quality and availability of health care, including home and community-based services, continuation of health insurance, purchase of AIDS drugs, direct provision of care for individuals and families living with HIV and AIDS (RWCA Title II);
3. Develop a minimum drug formulary for federally-assisted AIDS Drug Assistance Programs (ADAP -RWCA Title II);
4. Support outpatient early intervention services for low-income medically underserved people in existing primary health care systems (RWCA Title III);
5. Support comprehensive care services for affected women, infants, children, and youth in a comprehensive community-based, family-centered system of care (RWCA Title IV);
6. Support initial development of care systems linked to research for children, youth and women in seven new communities;
7. Enhance linkages between care providers and sites where research is conducted;
8. Provide leadership, training, and technical assistance;
9. Convene youth and family leadership conferences and distribute findings;
10. Develop, distribute, and train providers on quality indicators and quality assurance guidelines for the clinical management of HIV disease;
11. Develop guidance for grantees in developing local strategies for changes in the standard-of-care; and
12. Evaluate program effectiveness through development of common evaluation criteria of CARE Act grants that address program delivery and program outcomes and establishment of evaluation measures that are unique to each Title.

Provide RWCA-supported services through individual grantees and service organizations. In addition to these broad-based efforts, support a variety of focused initiatives such as the adolescent research and clinical network and a cooperative agreement with Institute of Family-Centered Care to provide training and technical assistance to youth and families.

HIV positive individuals and their family members, low income persons with HIV/AIDS, pregnant women living with HIV/AIDS, neonates and children born to HIV positive women. In addition, RWCA grantees and planning councils receive technical assistance in conducting and evaluating their programs.

The input and guidance of PLWAs and affected communities is gathered through a variety of avenues. Constituents are represented on the HRSA AIDS Advisory Committee, and RWCA planning councils, with the input of broad-based local representation, guide local prioritization of RWCA funds.

The development of evaluation measures is a participatory process whereby local groups assist in the development of self-assessment tools. Local participants have early and ongoing involvement in all phases of data collection design, planning, and implementation.

In addition, focus groups, workshops, and discussion groups of PLWAs, providers of HIV care, State and local officials, researchers, and national groups review proposed policies, program directives, and planning and evaluation activities to ensure constituency input.

Increase the number of health care providers who are effectively educated and motivated to counsel, diagnose, treat, and manage individuals with HIV infection.

1. Support didactic and clinical training activities for primary health care providers in collaboration with Federal, state, and local HIV care programs.
2. Disseminate state-of-the art HIV information to providers. Develop and coordinate distribution of HIV provider materials.

AIDS Education and Training Centers (RWCA Title VI). In addition, as part of the overall operative budget, there are quarterly interactive conference calls with experts and providers, the National HIV Telephone Consultation Service (Warmline), phone consultation services, newsletters, bulletins, and provider guides for HIV priority areas (e.g., guidance for clinicians regarding the use of AZT for the prevention of perinatal transmission).

Health care providers and people living with HIV disease.

Faculty, staff, advisory committees, training panels, persons living with AIDS, and academic faculty.

1. Increase the number of dental practitioners who provide care to HIV positive patients.
2. Assist dental schools in meeting uncompensated costs associated with providing oral health care to HIV positive patients.

Provide reimbursement to dental schools of uncompensated costs incurred in treating patients with HIV.

The AIDS Dental Reimbursement Program (RWCA Title V) is designed to reimburse accredited dental schools and post doctoral dental programs for the documented uncompensated costs incurred from providing oral health treatments to HIV positive patients.

Children and adults living with HIV.

American Association of Dental Schools, American Association of Hospital Dentists, and the American Dental Association.

Develop and evaluate models of comprehensive managed care networks that enroll a broad spectrum of primary care and psychosocial providers within the HIV continuum of care, and that provide patients and their families access to services.

Develop innovative models, provide technical support for evaluation activities, and disseminate results of evaluation.

Special Projects of National Significance (SPNS).

Persons living with HIV and their families.

Primary care providers, community-based organizations, state and local health officials, Ryan White planning bodies, and persons living with HIV.