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Appendix V: Coordination of Services
The HIV SNP has to coordinate enrollee care with:
The court system (for court-ordered evaluations and treatment)
Providers of health care for the homeless
Providers of services for victims of domestic violence
Family planning clinics, community health centers, migrant health centers,
rural health centers
WIC, Head Start, Early Intervention
Programs funded through the Ryan White Care Act
Prenatal Care Assistance Program (PCAP) providers
Local government agencies responsible for public health, mental health, mental
retardation or substance abuse
Specialized providers of long-term care for people with disabilities
Other relevant entities that give services out-of-network.
Through case management, linkage agreements, and contracts, the HIV
SNP has to coordinate care with these service providers:
HIV/AIDS Social Service Providers
Community-based providers offering HIV case management services, including
non-intensive psychosocial case management
Providers of individual and/or group HIV prevention and risk reduction education,
counseling, and services
Organizations that give treatment education to support and promote adherence to
treatment guidelines
Organizations that give substance abuse treatment readiness assessment, counseling,
and referrals
Organizations providing substance abuse assessments
Harm reduction and needle exchange providers
Programs and providers that offer mental health assessments
Programs that offer counseling and assistance with partner/spouse notification
Permanency planning and transitional service providers
Community education providers
HIV clinical education initiative providers
Providers of housing and supportive services for the homeless
Providers of services for victims of domestic violence, including shelters
Providers of services to migrants
Providers of nutritional services
Programs that offer transportation to supportive services
Providers of legal services
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