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Frequently Asked Questions
Frequently Asked Questions for Providers Frequently Asked Questions for Patients
Frequently Asked Questions for Providers
Who is eligible for the Disease Management Program? What area of Florida does Disease Management cover? Does your program cover all Medicaid patients? How does Positive Healthcare obtain the Patients for Disease Management? What are the contact numbers for Positive Healthcare? How can a provider contact the Medical Director for further information? What is the Project AIDS Care (PAC) Waiver? Aren't you duplicating services? What does the Disease Management Program do for Providers? What HIV/AIDS guidelines are available for medical providers? What educational information does Positive Healthcare provide to the patients? Can Positive Healthcare sponsor educational programs? Does Positive Healthcare provide updates on new antiretroviral combinations?
Who is eligible for the Disease Management Program? All Florida residents with Medicaid MediPass coverage or dually eligible with Project AIDS Care waiver with an HIV/AIDS diagnosis are eligible for the Disease Management Program. What area of Florida does Disease Management cover? Disease Management covers all 67 counties for the State of Florida. There are two Disease Management contracts with the State of Florida. One contract covers 65 counties and another that covers Broward and Dade counties. The contract that covers Broward and Dade counties has partnership with the North Broward Hospital District and the Jackson Memorial-Public Health Trust. Does your program cover all Medicaid patients? No, presently the Disease Management contract with the Agency for Healthcare Administration includes only patients with MediPass or Project AIDS Care Waiver with an HIV/AIDS diagnosis. How does Positive Healthcare obtain the Patients for Disease Management? Every month the Agency for Healthcare Administration provides a roster of the patients that meet eligibility criteria for the Disease Management Program. In addition, Positive Healthcare can enroll patients separately from community agencies, hospital discharges and health fairs as long a they meet Medicaid eligibility criteria. Positive Healthcare has a contract with the State of Florida's Agency for Healthcare Administration to perform HIV/AIDS Disease Management at no additional cost to the patient or provider. What are the contact numbers for Positive Healthcare? Positive Healthcare covers all 67 counties in Florida with statewide offices in Fort Lauderdale and regional offices in Miami, Delray Beach, Jacksonville and Tampa. Please use this link to download a PDF of the regional map and all contact information. There is also a toll-free 24-hour Positive Healthcare number: (800) 832-0778. How can a provider contact the Medical Director for further information? The Medical Director can be contacted at the statewide office in Fort Lauderdale at (954) 522-3132 or (800) 832-0778. What is the Project AIDS Care (PAC) Waiver? The purpose of the PAC Waiver Program is to promote, maintain, and optimize the health of persons living with AIDS in order to delay or prevent institutionalization. PAC Waiver provides home and/or community based services to Medicaid eligible persons with a diagnosis of AIDS that choose to live at home. Individuals eligible for Medicaid under the Medically Needy program are not eligible for PAC Waiver services. Aren't you duplicating services? No! HIV Case Management has evolved into a non-nursing position, assisting the patient through the bureaucracy of services available through government and private agencies. The Positive Healthcare RN Care Managers provide a medical/nursing perspective to the care of patients for Disease Management. What does the Disease Management Program do for Providers? The RN Care Manager and the Medical Director shall provide or inform of HIV/AIDS educational activities in the local region. In addition, the Medical Director is available for any clinical questions at (954) 522-3132 or (800) 832-0778. What HIV/AIDS guidelines are available for medical providers? Positive Healthcare utilizes nationally recognized Department of Health and Human Services (DHHS) guidelines for adult, pediatric and maternal care with approved updates. These guidelines can be downloaded at this link. What educational information does Positive Healthcare provide to the patients? All patients receive educational brochures on a quarterly basis on different topics that have been approved by the Agency for Healthcare Administration. In addition, patients receive direct one-on-one education about HIV/AIDS, co-morbidities, adherence, antiretroviral side effects and safe sex practices. What educational opportunities are available through Positive Healthcare Disease Management Programs? Each Friday at 11:00am there are Los Angeles Inner City rounds sponsored by the AIDS Healthcare Foundation. This lecture series is based on a diverse set of HIV/AIDS topics provided by nationally known researchers and clinicians. The lecture format is a fully interactive video conference that can be seen on your home or office PC. Each lecture is accredited for one hour of Continuing Medical Education. Can Positive Healthcare sponsor educational programs? Yes! Positive Healthcare can sponsor educational programs in a variety of different formats from one to one conversations with the Medical Director to larger formal educational programs. Does Positive Healthcare provide updates on new antiretroviral combinations? Positive Healthcare shall identify the patients that have pharmaceutical combinations that have been placed on the FDA-list server for warning or contraindication. You can check the FDA-list server using the FDA Notices & Clinical updates link at top left. The RN Care Manager shall provide a list to the attending physician(s) of the patients that are identified on the FDA-list server and direct any medical questions to the Medical Director.
Frequently Asked Questions for Patients
What can Positive Healthcare do for me? I understand what medications I am supposed to take but I don't know why? I know that I am HIV positive but what is the difference between HIV and AIDS? My doctor says that my lab work "looks good", but I don't know what that means. If my viral load is "undetectable" does that mean I am cured? I already have a Case Manager. Why do I need you? Who is eligible for the Disease Management Program? What are the contact numbers for Positive Healthcare? What is the Project AIDS Care (PAC) Waiver?
What can Positive Healthcare do for me? Provide you with a Registered Nurse who specializes in HIV, who will help you to manage your disease and to live a longer, healthier life. I understand what medications I am supposed to take but I don't know why? Your RN will sit down with you and review every drug that you are taking. They will explain what each drug is for and how it works. I know that I am HIV positive but what is the difference between HIV and AIDS? HIV is a virus that is in your blood that destroys some of your white blood cells, also called T-cells. When your T-cells drop below a certain level, generally 200, you are diagnosed with AIDS. Sometimes you can have a co-infection like PCP Pneumonia that also gives you an AIDS diagnosis. My doctor says that my lab work "looks good", but I don't know what that means. Your nurse will go to you doctor's office, look at your chart, read your lab work, and get back with you to explain what your lab values mean. The nurse at the office said my T-cell count should be high and my viral load should be low. What does that mean? Your T-cells are the good cells that fight infection in your body. Viruses are bad cells. So, you don't want to have a lot of virus floating around in your blood, but you want a lot of good cells to fight off any virus that get into your body. The higher your T-cell count, the more good cells you have. The lower the viral load is, the fewer viruses you have in your blood. If my viral load is "undetectable" does that mean I am cured? No. Having an "undetectable" viral load means that there is very little virus floating around in your blood. This usually means that you are taking your medicines like you should and that the virus isn't reproducing, but you are still HIV+ and can infect someone else if you don't use safe sex practices. I already have a Case Manager. Why do I need you? Your ASO Case Manager is a Social Worker who helps you with community resources like housing, food, money for electricity, etc. Positive Healthcare hires Registered Nurses who only see HIV patients. They know what HIV Standards of Practice are. Your RN will work with you, your ASO Case Manager, and with your physician, to see that you are receiving the best medical care available. Who is eligible for the Disease Management Program? All patients with Medicaid MediPass coverage or dually eligible with Project AIDS Care Waiver along with an HIV/AIDS diagnosis are eligible for the Disease Management Program. What are the contact numbers for Positive Healthcare? Positive Healthcare covers all 67 counties in Florida with statewide offices in Fort Lauderdale and regional offices in Miami, Delray Beach, Jacksonville and Tampa. Please use this link to download a PDF of the regional map and all contact information. There is also a toll-free 24-hour Positive Healthcare number: (800) 832-0778. What is the Project AIDS Care (PAC) Waiver? The purpose of the PAC Waiver Program is to promote, maintain, and optimize the health of persons living with AIDS in order to delay or prevent institutionalization. PAC Waiver provides home and/or community based services to Medicaid eligible persons with a diagnosis of AIDS that choose to live at home and in the community.
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