Welcome to Positive Healthcare - Florida









			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? Who pays for the program? 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? What educational opportunities are available through Positive Healthcare Disease Management Programs? 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) Who pays for the program? 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top) 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. (back to top)