ENROLLMENT MUST-HAVES

• CentroMed Clinic | Santa Rosa Clinic (https://centromedsa.com/locations/santa-rosa-pavillion/)315 North San Saba, Suite 103 San Antonio, TX 78207 • FFACTS Clinic (https://www.universityhealthsystem.com/services/infectious-diseases/ffacts-clinic)903 W. Martin, Clinical Pavilion, 3rd Floor San Antonio, TX 78207

• Alamo Area Resource Center (http://www.aarcsa.com/)(AARC) 303 N. Frio San Antonio, TX 78207 • BEAT-AIDS Coalition Trust (https://www.beataids.org/)1017 N. Main St. San Antonio, Texas 78212 • CentroMed Clinic | Santa Rosa Clinic (https://centromedsa.com/locations/santa-rosa-pavillion/)315 North San Saba, Suite 103 San Antonio, TX 78207 • FFACTS Clinic (https://www.universityhealthsystem.com/services/infectious-diseases/ffacts-clinic)903 W. Martin, Clinical Pavilion, 3rd Floor San Antonio, TX 78207 • San Antonio AIDS Foundation (https://sanantonioaids.org/)818 E. Grayson Street San Antonio, TX 78208

• Alamo Area Resource Center (undefined)(AARC) 303 N. Frio San Antonio, TX 78207 • BEAT-AIDS Coalition Trust (undefined)1017 N. Main St. San Antonio, Texas 78212 • CentroMed Clinic | Santa Rosa Clinic (undefined)315 North San Saba, Suite 103 San Antonio, TX 78207 • FFACTS Clinic (undefined)903 W. Martin, Clinical Pavilion, 3rd Floor San Antonio, TX 78207 • San Antonio AIDS Foundation (undefined)818 E. Grayson Street San Antonio, TX 78208

CentroMed Clinic | Santa Rosa Clinic (https://centromedsa.com/locations/santa-rosa-pavillion/)315 North San Saba, Suite 103 San Antonio, TX 78207 San Antonio AIDS Foundation (https://sanantonioaids.org/)818 E. Grayson Street San Antonio, TX 78208

• Alamo Area Resource Center (http://www.aarcsa.com/)(AARC) 303 N. Frio San Antonio, TX 78207 • BEAT-AIDS Coalition Trust (https://www.beataids.org/)1017 N. Main St. San Antonio, Texas 78212 • FFACTS Clinic (https://www.universityhealthsystem.com/services/infectious-diseases/ffacts-clinic)903 W. Martin, Clinical Pavilion, 3rd Floor San Antonio, TX 78207 • Veteran’s Administration Hospital (https://www.southtexas.va.gov/)7400 Merton Minter Blvd. San Antonio, Texas 78229

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• 2020 NHFF Planning Council By-laws(undefined)

• Planning Council Policies & Procedure Manual • Recipient Policies & Procedure Manual

• 2022 Memorandum of Understanding (MOU) • 2021 Memorandum of Understanding (MOU)

• PSRA Policies & Procedure Manual

• 2021 Assessment of the Administrative Mechanism Report (AAM) • 2020 Assessment of the Administrative Mechanism Report

• Integrated Comprehensive Plan (forthcoming Dec. 2022)

• COVID-19 Consumer Needs Assessment Summary(undefined)

• 2014 NHAS Final Progress Report(http://hiv210.net/assets/publications/NHAS/NHAS-2014-Final-Progress-Report.pdf) • NHAS Five Major Changes since 2010(http://hiv210.net/assets/publications/NHAS/NHAS-Update-5-Things.pdf) • NHAS Executive Summary(http://hiv210.net/assets/publications/NHAS/NHAS-Update-Executive-Summary.pdf) • NHAS Executive Order(http://hiv210.net/assets/publications/NHAS/NHAS-Update-Executive-Order.pdf) • NHAS Indicators Appendix(http://hiv210.net/assets/publications/NHAS/NHAS-Update-Indicators-Appendix.pdf) • NHAS Indicators at-a-glance(http://hiv210.net/assets/publications/NHAS/NHAS-Update-Indicators-at-a-glance.pdf) • NHAS What You Need to Know(http://hiv210.net/assets/publications/NHAS/NHAS-Update-What-you-need-to-know.pdf) • 2020 NHAS Update(http://hiv210.net/assets/publications/NHAS/NHAS-Update.pdf)

• The virus is highly contagious and threatens everybody in terms of its infectiousness. That said, there are some groups that are particularly vulnerable to developing serious complications: • Older adults (over 65) and people who have chronic medical conditions like HIV, heart disease, diabetes, and lung disease may have a higher risk of complications from COVID-19. • In the United States, nearly half of people with diagnosed HIV are aged 50 and older. People with HIV also have higher rates of chronic heart and lung disease. Like other respiratory infections among people with HIV, the risk of getting very sick is greatest in people with a low CD4 cell count and people not on HIV treatment. • People who are taking medicine to treat or prevent HIV should stick to their treatment plan, continue taking their medicine consistently, and follow the advice of their health care provider. • Encouraging people with HIV to stay on treatment and take preventative actions will play an essential role in protecting the health and well-being of those who are at higher risk of serious illness from COVID-19. • People with HIV who have COVID-19 have an excellent prognosis, and they should be clinically managed the same as persons in the general population with COVID-19, including when making medical care triage determinations.

• Clean your hands often! • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing. • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry. • Avoid touching your eyes, nose, and mouth with unwashed hands. • Avoid close contact: • Avoid close contact with people who are sick • Put distance between yourself and other people if COVID-19 is spreading in your community. This is especially important for people who are at higher risk of getting very sick. • Take steps to protect others: • Stay home if you are sick, except to get medical care. • Cover coughs and sneezes: • Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow. • Throw used tissues in the trash: • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol. • Wear a facemask if you are sick or sneezing or coughing: • If you are sick: You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room. • If you are NOT sick: You do not need to wear a facemask unless you are caring for someone who is sick (and they are not able to wear a facemask). Facemasks may be in short supply and they should be saved for caregivers. • If you don't have a facemask, making them are easy. Here's how you can make your own DIY facemask(https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html) • Clean and disinfect: • Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks. • If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.

Reject Stigma! Do not scapegoat or blame groups of people Despite the claims of some irresponsible leaders, the coronavirus is not the fault of any one country or racial/ethnic group. Viruses are part of our world and our shared human history. As LGBTQIA+ people and/or people living with HIV, we know how HIV stigma and anti-LGBTQIA+ stigma can enable the spread of HIV. It’s important not to stigmatize the coronavirus. No single racial or ethnic group of people is at greater risk of contracting or spreading the virus. The virus knows no borders and does not discriminate. Racism and xenophobia, including anti- Chinese and anti-Asian racism, are not helpful responses. Stigma can also occur after a person has been released from COVID-19 quarantine even though they are not considered a risk for spreading the virus to others. It is important to remember that people – including those of Asian descent who do not live in or have not recently been in an area of ongoing spread of the virus that causes COVID-19, or have not been in contact with a person who is a confirmed or suspected case of COVID-19 are not at greater risk of spreading COVID-19 than other Americans. Manage Your Anxiety and Stress The outbreak of coronavirus disease 2019 (COVID-19) may be stressful for people. Fear and anxiety about a disease can be overwhelming and cause strong emotions in adults and children. Coping with stress will make you, the people you care about, and your community stronger. Everyone reacts differently to stressful situations. How you respond to the outbreak can depend on your background, the things that make you different from other people, and the community you live in. • If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others call 911 • Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Disaster Distress Helpline: 1-800-985-5990 or text TalkWithUs to 66746. (TTY 1-800-846-8517) Remain Hopeful! Finally, it’s important to practice self-care and remain hopeful. We are in for a long haul, but we will get through this together if we take the appropriate precautions and make sacrifices now for the greater societal good. Here are some ideas to help get you and the people you love through this: 1. Take breaks from watching, reading, or listening to news stories, including social media. Hearing about the pandemic repeatedly can be upsetting. 2. Take care of your body. Take deep breaths, stretch, or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs. 3. Make time to unwind. Try to do some other activities you enjoy. 4. Connect with others. Talk with people you trust about your concerns and how you are feeling. 5. Check in on isolated individuals, especially people who are elderly or people living with a disability or chronic disease.

CDC.gov/coronavirus(https://www.cdc.gov/coronavirus/2019-ncov/index.html) This site provides the latest public health and safety information on COVID-19 from CDC for consumers and the overarching medical and health provider community. HRSA.gov/coronavirus(https://www.hrsa.gov/coronavirus) This page provides COVID-19 information specific to HRSA programs and grantees. RWHAP COVID-19 Frequently Asked Questions(https://hab.hrsa.gov/coronavirus-frequently-asked-questions) These FAQs were developed to assist RHWAP recipients, subrecipients, and stakeholders as they deliver critical services and assist local communities in response to COVID-19. This page is updated regularly. HIVinfo.NIH.gov(https://clinicalinfo.hiv.gov/en/guidelines/covid-19-and-persons-hiv-interim-guidance/interim-guidance-covid-19-and-persons-hiv) Interim guidance for COVID-19 and persons living with HIV. The information in the brief version is excerpted directly from the full-text guidelines. The brief version is a compilation of the tables and boxed recommendations.

We are still learning about COVID-19 and how it affects people with HIV. Based on limited data,(https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/evidence-table.html) we believe people with HIV who are on effective HIV treatment have the same risk for COVID-19 as people who do not have HIV. Older adults and people of any age who have serious underlying medical conditions might be at increased risk (https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-increased-risk.html)for severe illness. This includes people who have weakened immune systems. The risk for people with HIV getting very sick is greatest in: • People with a low CD4 cell count and • People not on effective HIV treatment (antiretroviral therapy or ART).

People with HIV should take everyday preventive actions (https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html#take-everyday-precautions)to help prevent the spread of COVID-19. People with HIV should also continue to maintain a healthy lifestyle. This includes: • Eating right • Getting at least 8 hours of sleep, and • Reducing stress as much as possible.(https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html) Staying healthy helps your immune system fight off infection should it occur. If you have HIV and are taking your HIV medicine, it is important to continue your treatment and follow the advice of your health care provider. This is the best way to keep your immune system healthy.

The U.S. vaccine safety system makes sure all vaccines are as safe as possible. COVID-19 vaccines have gone through the same safety tests and meet the same standards as other vaccines. People with HIV were included in clinical trials, though safety data specific to this group are not yet available. People with HIV are part of the group of people with underlying medical conditions.(https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/underlying-conditions.html) If you have HIV, you may choose to get vaccinated if you have not had a severe or immediate allergic reaction (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/allergic-reaction.html)to any of the vaccine ingredients. If you have a weakened immune system, you should also be aware of the potential for reduced immune responses to the vaccine. If you decide to get vaccinated, continue to take everyday preventive actions (https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html)to protect yourself against COVID-19. Learn more about what CDC and other federal partners are doing to make sure COVID-19 vaccines are safe (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety.html)and effective.(https://www.cdc.gov/coronavirus/2019-ncov/vaccines/effectiveness.html)

Call your health care provider if you develop symptoms (https://www.cdc.gov/coronavirus/2019-ncov/about/symptoms.html)that could be consistent with COVID-19. Discuss how to get evaluated and how to avoid potentially exposing others to COVID-19. Learn more about COVID-19 and what to do if you get sick.(https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/index.html)

Nearly half of people in the United States with diagnosed HIV are aged 50 years and older. People with HIV also have higher rates of certain underlying health conditions. Both increased age and these conditions can increase their risk (https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhigh-risk%2Fhigh-risk-complications.htm)for more severe illness if people with HIV get COVID-19, especially people with advanced HIV. Steps that people with HIV can take to prepare (https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/index.html)in addition to what is recommended for everybody: • Make sure you have at least a 30-day supply of your HIV medicine and any other medications or medical supplies you need for managing HIV. • Talk to your health care provider and make sure all your vaccinations are up-to-date, including vaccinations against seasonal influenza (https://www.cdc.gov/flu/highrisk/hiv-flu.htm)and bacterial pneumonia because these vaccine preventable diseases disproportionally affect people with HIV. • Establish a plan for clinical care if you have to stay at home for a couple of weeks. Try to establish a telemedicine link through your HIV care provider’s online portal. If telemedicine is not available to you, make sure you can communicate with your provider by phone or text. • Make sure you can maintain a social network remotely, such as online, by phone, or by video chat. This can help you stay socially connected and mentally healthy, which is especially important for people with HIV. • People with HIV can sometimes be more likely than others to need extra help, from friends, family, neighbors, community health workers, and others. If you become sick make sure you stay in touch by phone or email with people who can help you.

Currently, treatment for COVID-19 is very limited. There is no evidence that any medicines used to treat HIV are effective against COVID-19. People with HIV should not switch their HIV medicine in an attempt to prevent or treat COVID-19. Some clinical trials are looking at whether HIV medicines can treat COVID-19. Other trials are looking at the effectiveness of different drugs to treat COVID-19 in people with HIV. They are also looking to better understand how people with HIV manage COVID-19. You can learn more at ClinicalTrials.gov(https://clinicaltrials.gov/ct2/home) .

Drug shortages or anticipated problems with HIV medicine have not been identified. The U.S. Food and Drug Administration (FDA) is closely monitoring the drug supply chain, as the COVID-19 pandemic has the potential to disrupt the supply of medical and pharmaceutical products in the United States. The National Alliance of State and Territorial AIDS Directors (NASTAD) has also remained in contact with the major manufacturers of HIV medicine, as many of these products rely on ingredients produced in other countries. As of January 26, 2021, there were no reports of manufacturing concerns or supply shortages of ART or PrEP. Learn more about the FDA’s response to COVID-19.(https://www.fda.gov/emergency-preparedness-and-response/counterterrorism-and-emerging-threats/coronavirus-disease-2019-covid-19)

For the latest CDC travel recommendations, visit CDC’s COVID-19 travel information page.(https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html)

Minimizing stigma and misinformation about COVID-19 is very important. People with HIV have experience in dealing with stigma and can be allies in preventing COVID-19 stigma. Learn how you can reduce stigma and help prevent the spread of rumors (https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/reducing-stigma.html)about COVID-19.

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• Ryan White Part A Fact Sheet • Ryan White Part A Manual • Ryan White Planning Council Primer • NHFF Eligible Metropolitan Area (EMA) Ryan White 101 • NHFF Planning Council Orientation • Robert's Rules of Order Training • Financial Reports Training • Quarterly Expenditure Report • Unobligated Balance Estimate • Carryover Request • Assessment of the Administrative Mechanism Training • Service Standards Training • Memorandum of Understanding Overview • Directives Overview Training • What Do These Letters Mean? Acronyms 101

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• A PLACE TO NOURISH YOUR HEALTH (APNH)1(http://www.apnh.org/)302 Chapel Street New Haven, CT 06510 • Main Switchboard: 203-624-0947(tel:+1 203-624-0947) • Newly Diagnosed: 475-441-7021 • HIV Client Services: 475-441-7019 • CORNELL SCOTT HILLHEALTH CENTER (CS: HHC) (http://www.hillhealthcenter.com/)400-428 Columbus Avenue New Haven, CT 06519 • Information Line: 203-503-3000 • FAIR HAVEN COMMUNITY HEALTH CENTER (FHCHC) (http://www.fhchc.org/)374 Grand Avenue New Haven, CT 06513 • Information Line: 203-777-7411 • email: info@fhchc.org(mailto:info@fhchc.org) • HOSPITAL OF ST RAPHAEL/ HAELEN CENTER (HSR) YALE NEW HAVEN HEALTH (http://www.ynhh.org/..hospital-at-straphaels)1450 Chapel Street New Haven, CT 06511 • Information Line: 203-789-3000 • LIBERTY COMMUNITY SERVICES (LCS) (http://www.libertycs.org/)254 College Street New Haven, CT 06510 • 203-495-7600 • NEW REACH (http://www.nhhr.org/)153 East St, 2nd floor/ 192 Fitch Street New Haven, CT 06513 • 203-492-4866 • NATHAN SMITH CLINIC/YALE NEW HAVEN HEALTH (http://www.ynhhs.org/locations/new-haven-15-york-street-infectious-diseases)135 College Street, Suite 323/ 333 Cedar Street New Haven, CT 06510 • Information Line: 203-688-2685 • YALE UNIVERSITY HEALTH CARE VAN (CHCV) (http://www.chcv.org/)135 College Street, Ste 323 New Haven, CT 06510 • Information Line: 203-996-0162 • STAYWELL COMMUNITY HEALTH CENTER (http://www.staywellhealth.org/)80 Phoenix Avenue, Suite 203 Waterbury, CT 06702 • Information Line: 203-756-8021 • LIFE BRIDGE COMMUNITY SERVICES (http://www.lifebridgect.org/)475 Clinton Avenue Bridgeport, CT 06605 • Information Line: 203-368-4291 • GREATER BRIDGEPORT AREA PREVENTION PROGRAM (GBAPP) (http://www.gbapp.org/)1470 Barnum Avenue Bridgeport, CT 06610 • Information Line: 203-366-8255 • OPTIMUS (http://www.optimushealthcare.org/opthc/)982 East Main Street Bridgeport, CT • Information Line: 203-696-3260 • SOUTHWEST COMMUNITY HEALTH CENTER (http://www.swchc.org/)Infectious Disease Program Coordinator 46 Albion Street Bridgeport, CT 06605 • Information Line: 203-330-6000 • FAMILY CENTERS (http://www.familycenters.org/)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • MID-FAIRFIELD AIDS PROGRAM (MFAP) (http://www.mfap.com/)618 West Avenue Norwalk, CT 06850 • Information Line: 203-855-9535 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (http://www.apexcc.org/)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437

The New Haven/Fairfield Ryan White Planning Council is a federally mandated community group of dedicated volunteers appointed by the Mayor of the City of New Haven/Fairfield, CT to plan the organization and delivery of Ryan White Part A HIV/AIDS services. The Planning Council takes the lead in conducting many of its legislated responsibilities and shares duties with the grantee in some areas. To guarantee that a broad range of ideas are heard, the planning council membership must reflect specific areas of expertise as well as disproportionately affected and historically under served populations. The Planning Council completes its work through a structure of committees and subcommittees all of which are open to the public.

The Council has several major duties, including: 1. Determine the size and demographics of the population of individuals with HIV/AIDS. 2. Determining the needs of people living with HIV/AIDS, especially those not in care, affected subpopulations and historically under served communities. 3. Setting priorities for the allocation of funds. 4. Developing a comprehensive plan for the organization and delivery of health services. 5. Assessing the efficiency of the grant administration and the effectiveness of services. 6. Establishing data driven methods (focus groups, Ad Hoc panels, public meetings, etc.) which focus on community needs and priorities. 7. Defining Standards of Care for services provided to people living with HIV/AIDS. 8. Coordinate with Federal, State and local grantees that provide HIV-related services. 9. Be available to facilitate and collaborate with all funded AIDS programs, including but not limited to: the CARE Act Part A, B, C, D and F, housing opportunities for people living with AIDS (HOPWA) funds and Centers for Disease Control and Prevention (CDC) funds. 10. Participate in the development of the Statewide Coordinated Statement of Need (SCSN) initiated by the State Public Health agency responsible for administering grants under Part B (Title II) The Council has a mandate to focus on people who are not in care (i.e. not receiving medical care) by assessing their needs and developing programs to bring them into care. The Planning Council and its Committees use parliamentary procedure or Robert’s Rules of Order (http://www.robertsrules.com/)to conduct meetings.

During the COVID-19 pandemic, all meetings will be held virtually via ZOOM Meetings. Each committee usually meets once a month. The Council can create ad hoc work groups to address short-term projects. For a more comprehensive schedule of meetings, please see the Meeting Calendar link.(javascript:void(0)) Or you can download the 2022 meeting schedule here.(undefined)

• CORNELL SCOTT HILLHEALTH CENTER (CS: HHC) (undefined)400-428 Columbus Avenue New Haven, CT 06519 • Information Line: 203-503-3000 • FAIR HAVEN COMMUNITY HEALTH CENTER (FHCHC) (undefined)374 Grand Avenue New Haven, CT 06513 • Information Line: 203-777-7411 • email: info@fhchc.org(undefined) • LIFE BRIDGE COMMUNITY SERVICES (undefined)475 Clinton Avenue Bridgeport, CT 06605 • Information Line: 203-368-4291 • FAMILY CENTERS (undefined)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • MID-FAIRFIELD AIDS PROGRAM (MFAP) (undefined)618 West Avenue Norwalk, CT 06850 • Information Line: 203-855-9535 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437

The Planning Council has a website, www.nhffryanwhitehivaidscare.org (javascript:void(0))which includes upcoming Council meeting times and agendas, locations, and minutes from full Council and committee meetings. For more information, please contact Planning Council support staff at Email: seaburg@collaborativeresearch.us(mailto:seaburg@collaborativeresearch.us)

• A PLACE TO NOURISH YOUR HEALTH (APNH)1(undefined)302 Chapel Street New Haven, CT 06510 • Main Switchboard: 203-624-0947(undefined) • Newly Diagnosed: 475-441-7021 • HIV Client Services: 475-441-7019 • YALE CHILD STUDY CENTER (undefined)98 York Street New Haven, CT 06520 • Information Line: 203-785-2540 • YALE UNIVERSITY HEALTH CARE VAN (CHCV) (undefined)135 College Street, Ste 323 New Haven, CT 06510 • Information Line: 203-996-0162 • STAYWELL COMMUNITY HEALTH CENTER (undefined)80 Phoenix Avenue, Suite 203 Waterbury, CT 06702 • Information Line: 203-756-8021 • LIFE BRIDGE COMMUNITY SERVICES (undefined)475 Clinton Avenue Bridgeport, CT 06605 • Information Line: 203-368-4291 • FAMILY CENTERS (undefined)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • FAMILY & CHILDREN’S AGENCY (undefined)9 Mott Ave Norwalk CT 06850 • Information Line: 203-855-9535 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437

• CORNELL SCOTT HILLHEALTH CENTER (CS: HHC) (undefined)400-428 Columbus Avenue New Haven, CT 06519 • Information Line: 203-503-3000 • STAYWELL COMMUNITY HEALTH CENTER (undefined)80 Phoenix Avenue, Suite 203 Waterbury, CT 06702 • Information Line: 203-756-8021 • OPTIMUS (undefined)982 East Main Street Bridgeport, CT • Information Line: 203-696-3260 • FAMILY CENTERS (undefined)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • MID-FAIRFIELD AIDS PROGRAM (MFAP) (undefined)618 West Avenue Norwalk, CT 06850 • Information Line: 203-855-9535 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437 • DANBURY HOSPITAL (undefined)71 Main Street Danbury, CT 06810 • Information Line: 203-791-2077

If you have any questions or need additional information please contact the Ryan White Planning Council Support Staff at 877-336-5503. The mailing address is: Ryan White Office 54 Meadow Street, 9th Floor New Haven, CT 06519 Email: seaburg@collaborativeresearch.us(mailto:seaburg@collaborativeresearch.us)

The Planning Council is comprised of forty-five (45) members who serve a 2-year term with the option to be considered for two additional terms. The Council is to be representative of race, ethnicity, culture, gender, geography, consumer and care service categories. Members are selected for their expertise, knowledge, ability and willingness to view the entire HIV/AIDS system and its unique characteristics and should be reflective of the epidemic in the Greater New Haven/Fairfield, CT. region.

The Planning Council is comprised of various share holders in the community who directly or indirectly interact with the HIV/AIDS community and who have a vested interest to ensure that the best possible services are provided to ensure a positive and healthy outcome for those served. One of the most important components of the Planning Council membership and the reason why this program has been so successful over the years is the mandated requirement that one-third (33%) of Planning Council membership be consumers of services provided by the TGA. The involvement of the community is vital in ensuring that the funds are indeed being expended to their maximum benefit.

• CORNELL SCOTT HILLHEALTH CENTER (CS: HHC) (undefined)400-428 Columbus Avenue New Haven, CT 06519 • Information Line: 203-503-3000 • FAIR HAVEN COMMUNITY HEALTH CENTER (FHCHC) (undefined)374 Grand Avenue New Haven, CT 06513 • Information Line: 203-777-7411 • email: info@fhchc.org(undefined) • HOSPITAL OF ST RAPHAEL/ HAELEN CENTER (HSR) YALE NEW HAVEN HEALTH (undefined)1450 Chapel Street New Haven, CT 06511 • Information Line: 203-789-3000 • NATHAN SMITH CLINIC/YALE NEW HAVEN HEALTH (undefined)135 College Street, Suite 323/ 333 Cedar Street New Haven, CT 06510 • Information Line: 203-688-2685 • STAYWELL COMMUNITY HEALTH CENTER (undefined)80 Phoenix Avenue, Suite 203 Waterbury, CT 06702 • Information Line: 203-756-8021 • OPTIMUS (undefined)982 East Main Street Bridgeport, CT • Information Line: 203-696-3260 • FAMILY CENTERS (undefined)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • NORWALK COMMUNITY HEALTH CARE CENTER (NCHC) (undefined)120 Connecticut Avenue Norwalk, CT 06854 • Information Line: 203-899-1770 • STAMFORD HOSPITAL (undefined)166 West Broad Street Stamford, CT 06902 • Information Line: 203-276-7486 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437 ​​​​​​​ • DANBURY HOSPITAL (undefined)71 Main Street Danbury, CT 06810 • Information Line: 203-791-0536

• A PLACE TO NOURISH YOUR HEALTH (APNH)1(undefined)302 Chapel Street New Haven, CT 06510 • Main Switchboard: 203-624-0947(undefined) • Newly Diagnosed: 475-441-7021 • HIV Client Services: 475-441-7019 • CORNELL SCOTT HILLHEALTH CENTER (CS: HHC) (undefined)400-428 Columbus Avenue New Haven, CT 06519 • Information Line: 203-503-3000 • RECOVERY NETWORK OF PROGRAMS (RNP) (undefined)2 Trap Falls Rd, Ste 405 Shelton, CT 06484 • Information Line: 203-929-1954 • RECOVERY NETWORK OF PROGRAMS (RNP) (undefined)2 Research Dr, Ste 405 Stratford, CT 06615 • Information Line: 203-929-1954 • NATHAN SMITH CLINIC/YALE NEW HAVEN HEALTH (undefined)135 College Street, Suite 323/ 333 Cedar Street New Haven, CT 06510 • Information Line: 203-688-2685 • MCAA (undefined)38 Old Ridgebury Rd. Danbury, CT 06810 • Information Line: 203-792-4515 • LIBERATION PROGRAMS, INC. (undefined)399 Mill Hill Avenue Bridgeport, CT 06610 • Information Line: 203-384-3260 • FAMILY CENTERS (undefined)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • CONNECTICUT COUNSELING CENTERS - NORWALK (undefined)20 North Main Street, 3rd floor Norwalk, CT 06854 • Information Line: 203-838-6508 ext. 231 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437

Membership application forms (undefined)are available from Council staff and on the Council web site at the Planning Council Membership (javascript:void(0))page. Please complete the application, and sign the Statement of Member Commitment. Return the completed form to: Ryan White Office 54 Meadow Street, 9th Floor New Haven, CT 06519 ph: 877-336-5503 Email: seaburg@collaborativeresearch.us(mailto:seaburg@collaborativeresearch.us)

• A PLACE TO NOURISH YOUR HEALTH (APNH)1(undefined)302 Chapel Street New Haven, CT 06510 • Main Switchboard: 203-624-0947(undefined) • Newly Diagnosed: 475-441-7021 • HIV Client Services: 475-441-7019 • YALE CHILD STUDY CENTER (http://www.childstudycenter.yale.edu/)98 York Street New Haven, CT 06520 • Information Line: 203-785-2540 • STAYWELL COMMUNITY HEALTH CENTER (undefined)80 Phoenix Avenue, Suite 203 Waterbury, CT 06702 • Information Line: 203-756-8021 • GREATER BRIDGEPORT AREA PREVENTION PROGRAM (GBAPP) (undefined)1470 Barnum Avenue Bridgeport, CT 06610 • Information Line: 203-366-8255 • FAMILY CENTERS (undefined)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • MID-FAIRFIELD AIDS PROGRAM (MFAP) (undefined)618 West Avenue Norwalk, CT 06850 • Information Line: 203-855-9535 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437 ​​​​​​​

The Membership/Finance (MF) Committee reviews applications of potential applicants on an ongoing basis. The Membership/Finance Committee selects nominees and forwards names to the full Council.

• A PLACE TO NOURISH YOUR HEALTH (APNH)1(undefined)302 Chapel Street New Haven, CT 06510 • Main Switchboard: 203-624-0947(undefined) • Newly Diagnosed: 475-441-7021 • HIV Client Services: 475-441-7019 • CORNELL SCOTT HILLHEALTH CENTER (CS: HHC) (undefined)400-428 Columbus Avenue New Haven, CT 06519 • Information Line: 203-503-3000 • FAIR HAVEN COMMUNITY HEALTH CENTER (FHCHC) (undefined)374 Grand Avenue New Haven, CT 06513 • Information Line: 203-777-7411 • email: info@fhchc.org(undefined) • LIBERTY COMMUNITY SERVICES (LCS) (undefined)254 College Street New Haven, CT 06510 • 203-495-7600 • NEW REACH (undefined)153 East St, 2nd floor/ 192 Fitch Street New Haven, CT 06513 • 203-492-4866 • LIFE BRIDGE COMMUNITY SERVICES (undefined)475 Clinton Avenue Bridgeport, CT 06605 • Information Line: 203-368-4291 • GREATER BRIDGEPORT AREA PREVENTION PROGRAM (GBAPP) (undefined)1470 Barnum Avenue Bridgeport, CT 06610 • Information Line: 203-366-8255 • FAMILY CENTERS (undefined)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437

1. A blank application for nomination to the Council is available to anyone who requests them and are kept with Planning Council Staff and on the NHFF EMA website(undefined) 2. Persons may nominate themselves or persons may be nominated by someone else. 3. Completed applications are submitted in confidence to the Membership/Finance Committee, which is representative of the Council (delivery instructions are included with nomination form). 4. Nominees may be recruited by the Membership/Finance Committee in conjunction with the Planning Council as a whole in accordance with a plan that outlines target populations for recruitment. 5. The Membership/Finance Committee will review nominations on an ongoing basis and go into Executive Session to discuss confidential information as needed.

All terms of Planning Council members shall be for two (2) years and shall commence of the first (1) day of June and end on May 31st. It is recommended that terms be staggered with members serving no more than three (3) consecutive two-year terms. An individual may be eligible for an additional appointment after rotating off the Council for one (1) calendar year and are members in good standing with the Council. Council members must meet the meeting attendance requirements to stay in good standing.

All Council meetings and committee meetings are open to the public. Public comment is taken at the beginning of each full Council meeting and during the meeting on each agenda item. Members of the public are encouraged to participate in the discussions at committee and work group meetings. For more information: Ryan White Office 54 Meadow Street, 9th Floor New Haven, CT 06519 ph: 877-336-5503 Email: seaburg@collaborativeresearch.us(mailto:seaburg@collaborativeresearch.us)

• A PLACE TO NOURISH YOUR HEALTH (APNH) (http://www.apnh.org/)1302 Chapel Street New Haven, CT 06510 • Main Switchboard: 203-624-0947 • Newly Diagnosed: 475-441-7021 • HIV Client Services: 475-441-7019 • YALE UNIVERSITY HEALTH CARE VAN (CHCV) (http://www.chcv.org/)135 College Street, Ste 323 New Haven, CT 06510 • Information Line: 203-996-0162 • STAYWELL COMMUNITY HEALTH CENTER (http://www.staywellhealth.org/)80 Phoenix Avenue, Suite 203 Waterbury, CT 06702 • Information Line: 203-756-8021 • LIFE BRIDGE COMMUNITY SERVICES (http://www.lifebridgect.org/)475 Clinton Avenue Bridgeport, CT 06605 • Information Line: 203-368-4291 • FAMILY CENTERS (http://www.familycenters.org/)40 Arch Street Greenwich CT 06830 • Information Line: 203-868-4848 • MID-FAIRFIELD AIDS PROGRAM (MFAP) (http://www.mfap.com/)618 West Avenue Norwalk, CT 06850 • Information Line: 203-855-9535 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (http://www.apexcc.org/)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437

The NHFF Ryan White Program covers the following regions and the cities/towns within each: • REGION 1: NEW HAVEN • Branford • East Haven • Guilford • Hamden • Madison • Milford • New Haven • North Branford • North Haven • Orange • West Haven • Woodbridge • REGION 2: WATERBURY • Ansonia • Beacon Falls • Bethany • Cheshire • Derby • Meriden • Middlebury • Naugatuck • Oxford • Prospect • Seymour • Southbury • Wallingford • Waterbury • Wolcott • REGION 3: BRIDGEPORT • Bridgeport • Easton • Fairfield • Monroe • Shelton • Stratford • Trumbull • REGION 4: STAMFORD/NORWALK • Darien • Greenwich • New Canaan • Norwalk • Stamford • Weston • Westport • Wilton • REGION 5: DANBURY • Bethel • Bridgewater • Brookfield • Danbury • New Fairfield • Newtown • Redding • Ridgefield • Sherman

• NEW REACH (http://www.nhhr.org/)153 East St, 2nd floor New Haven, CT 06513 • Information Line: 203-492-4866 • NEW REACH (http://www.nhhr.org/)192 Fitch Street New Haven, CT 06513 • Information Line: 203-492-4866 • APEX COMMUNITY CARE or AIDS PROJECT GREATER DANBURY (undefined)30 West Street Danbury, CT 06810 • Information Line: 203-778-2437

The Ryan White HIV/AIDS Treatment Modernization Act was recently reauthorized in December of 2006. It redefined funded areas into two subsets: • EMAs or Eligible Metropolitan Areas • TGAs or Transitional Grant Areas. Prior to 2007, the legislation had been known as the Ryan White CARE Act. This federal legislation was originally passed in 1990 and reauthorized in 1995, 2000 and 2006. It authorized spending federal dollars for HIV health services through five different titles or parts. It was envisioned as a disaster relief bill to help cities and states overwhelmed by the costs of caring for people with HIV/AIDS. It helps support a comprehensive continuum of HIV health services for low-income people living with HIV.

Part A (previously Title I) funds go directly to the urban areas hardest hit by HIV/AIDS. Provides assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs)—locales that are most severely affected by the HIV/AIDS epidemic. When the first Part A grants were awarded in FY 1991, there were 16 EMAs. Today, 24 EMAs and 32 TGAs receive funding.In FY 2010, approximately $679.1 million was appropriated for Part A spending.

Part B (previously Title II) provides grants to States and U.S. Territories.Part B grants include a base grant, the AIDS Drug Assistance Program (ADAP) award, ADAP supplemental grants, grants to States for Emerging Communities, and an award for Minority AIDS Initiative activities. For FY 2010, $1.25 billion was appropriated for Part B programs, and $835 million was earmarked for ADAP. For FY 2010 $8.4 million was awarded for MAI activities in 33 States, the District of Columbia , Puerto Rico, and the U.S. Virgin Islands

Part C (previously Title III) provides grants for community-based organizations, clinics, hospitals, and other health facilities that provide early intervention services to people infected with HIV/AIDS through intravenous drug use. The FY 2010 appropriation for Part C EIS was $206.8 million. Since FY 1991, approximately $1.85 billion has been appropriated for Part C programs. In FY 2009, 253 organizations received grants totaling approximately $187.1 million.

Part D funds family-centered primary for women, infants, children, and youth with HIV/AIDS and specialty medical care and support services. Since 1994, the Part D Program has provided more than $681.6 million in funding to States and communities. The Part D Program has played a significant part in reducing mother-to-child HIV transmission.

Part F covers: the AIDS Education and Training Centers (AETC) training for health care providers. It's responsible for the Ryan White HIV/AIDS Dental Reimbursement Program (DRP) for agencies to reimburse the uncompensated costs incurred by agencies in providing oral health treatment to PLWHA as well as funds the Community Based Dental Partnership Program (CBDPP) which provides oral health care in the community and also trains dental professionals. Finally, Part F is home to the Special Programs of National Significance (SPNS) models of care.

The Health Resources and Services Administration (HRSA) administers the programs on the federal level. They are a part of the Department of Health and Human Services (HHS). Bexar County (also known as the Grantee or Recipient) provides day-to-day administration on the local level.

Ryan White funds pay for primary medical care, dental care, substance abuse treatment, mental health care, case management, and dental health services. In addition, 25% of total funds can be used for support services that help people get into medical care or stay in care such as housing assistance. It also pays for Planning Council staff and activities such as needs assessment, evaluation, comprehensive planning and grant administration. The funds are distributed to community-based organizations, public health programs, community health clinics, and hospitals.

Yes. The Federal government has a number of restrictions on funding: • The money cannot be spent on capital improvements or construction. • It cannot pay for permanent housing services. • It must be used as the payer of last resort, meaning that if a service can be paid for somewhere else, such as billed to Medicaid, it cannot be paid for by Ryan White Part A. • Money also cannot be given directly to consumers. The ability to use funds for counseling and testing or prevention services is limited.

Ryan White Part A services are for people living with HIV/AIDS who are low income and uninsured or underinsured. Programs or agencies may have additional eligibility criteria, such as disability. Services are prioritized for those with the most severe needs, such as those who are homeless or who have multiple diagnoses.

Core and Support Services are available to HIV infected persons who meet eligibility requirements regardless of age, race, ethnicity, religion, gender, and sexual orientation. For a listing of locations please go to the Services (javascript:void(0))page on this website. For a brief description and listing of services standards offered, please go to the Service Standards (javascript:void(0))page Core medical services may include: • outpatient and ambulatory health services • pharmaceutical assistance • oral health care • early intervention services • health insurance premium and cost-sharing assistance • home health care • medical nutrition therapy • hospice services • home and community-based health services • mental health services, • outpatient substance abuse care, and • medical case management, including treatment-adherence services. Support services may include: • outreach • medical transportation • linguistic services • respite care for caregivers of people with HIV • referrals for health care and other support services • non-medical case management, and • residential substance abuse treatment services. For a listing of locations please go to the Services (javascript:void(0))page on this website. For a brief description and listing of services standards offered, please go to the Service Standards (javascript:void(0))page

Thousands of people received services throughout the NHFF five regions. Compared to the demographics of all people living with HIV/AIDS, Ryan White Part A clients are disproportionately poor, people of color, and women. Of those for whom we have demographic information: • The majority of clients are people of color (65%), including 36% African American, 29% Latino, 1% Asian/Pacific Islanders, and 34% White. Most are men (65%), with 35% women. • Nearly 70% of clients are within 0 to 150% of the 2006 Federal Poverty Level. Further, 66.5% of those meeting the Federal Poverty Level Criteria have a Disabling AIDS or Disabling HIV+ status. • One third are homeless or in unstable housing such as a shelter, a treatment program, or staying with friends. • 27% have no health insurance and half are on public insurance. • Nearly 42% report injection drug use (IDU) as their HIV exposure risk, 20% report MSM, 23% identified other sexual contact as their exposure risk and 15% did not report their exposure risk or are unknown.