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State AIDS Programs and the Medicare Modernization Act (MMA):  A Conference Call Discussion for State AIDS Directors and ADAP Coordinators

State AIDS Programs and the Medicare Modernization Act (MMA): A Conference Call Discussion for State AIDS Directors and ADAP Coordinators

November 10, 2004 at 2pm EST
Kaiser Family Foundation & The National Alliance of State and Territorial AIDS Directors

Medicare is estimated to cover almost one in five people living with HIV/AIDS in care. Although Medicare provides broad coverage of basic health care services, it has high cost-sharing requirements, no cap on out-of-pocket spending, and doesn’t cover services such as long-term care and, until 2006, has no prescription drug benefit. Medicare beneficiaries must therefore rely on supplemental sources of coverage to fill in gaps, particularly Medicaid, the nation’s major health insurance program for low-income Americans. The AIDS Drug Assistance Program (ADAP) is also an important source for prescription drugs for Medicare beneficiaries with HIV/AIDS.

The implementation of the Medicare Modernization Act’s new Medicare Part D prescription drug benefit in 2006 will likely have a significant impact on Medicaid, ADAP, and other state programs that provide coverage and services to people with HIV/AIDS. In some cases, it may relieve pressure on these programs; in others, it may increase pressure and demand. Some beneficiaries may see an improvement in their prescription drug coverage; others may not. Although there is still a great deal of uncertainty, states and beneficiaries will likely face a complex, new terrain that may prove difficult to navigate.

To discuss the potential implications of the MMA for State AIDS Programs and people living with HIV/AIDS, the National Alliance of State and Territorial AIDS Directors and the Kaiser Family Foundation are convening a conference call with State AIDS Directors and ADAP Program Managers.

What: A Conference Call Briefing for State AIDS Directors and ADAP Program Managers

When: Wednesday, November 10, 2004 2:00 p.m. – 3:00 p.m. EST Presentation and Q&A

How: Via conference call. The conference call-in number is 1-866-279-1566. Hit the * key, followed by the meeting number (5677146), followed again by the * key.

Background materials for the call are available below:

Conference Call Agenda

Medicare Drug Benefit Update Presentation

Medicare Prescription Drug Improvement and Modernization Act Implementation Timeline

Grievance and Appeals Procedures: An Analysis of the MMA and Proposed Regulations

The Effect of Formularies and Other Cost Management Tools on Access to Medications: An Analysis of the MMA and Proposed Regulations

The New Medicare Drug Benefit: Potential Effects of Pharmacy Management Tools on Access to Medications

Fact Sheet: Medicare and HIV/AIDS

Medicare Prescription Drug Law Fact Sheet

Medicare Advantage Fact Sheet

Medicare at a Glance Fact Sheet

Topics

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.