Case Management Training Program

Supporting Ryan White Part A-Funded Case Management Agencies Across the Boston EMA.

Welcome to the Case Management Training Program! The purpose of this website is to provide HIV Case Managers with a comprehensive resource dedicated to providing information and support for individuals living with HIV.

1010 MASSACHUSETTS AVENUE

BOSTON, MA 02118

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What We Do

The Case Management Training Program (CMTP) is funded to provide training, technical assistance, and capacity-building assistance services to Boston EMA subrecipients. Subrecipients funded for Medical Case Management and/or Non-Medical Case management services will be mandated to participate in a series of core competency curricula.

The Case Management Training Program strives to empower case managers to work as a community to provide consistent, comprehensive care to people living with HIV. We do this by partnering with local organizations to provide trainings and resources for case managers so they can ensure people living with HIV can reach and ​maintain viral suppression by accessing the full continuum of HIV services.​

1. Collaborate to build and share resources.
2. Educate case managers, clients, and communities.
3. Advocate for the health and well-being of people living with HIV/AIDS.

Medical Case Management

Medical Case Management - MAI

Non-Medical Case Management

Non-Medical Case Management - MAI

Understanding HIV/AIDS

Explore the basics of HIV infection, transmission routes, and the impact of HIV on the immune system.

Learn about the importance of HIV testing, the different testing methods available, and where to get tested.

PrEP (PRE-EXPOSURE PROPHYLAXIS)

This fact sheet answers frequently asked questions about PrEP (Pre-Exposure Prophylaxis).

PEP (POST-EXPOSURE PROPHYLAXIS)

This fact sheet answers frequently asked questions about HIV PEP (Post-exposure prophylaxis).

STAYING HEALTHY TIPS

As part of overall health and wellness, it is important to learn the best practices for addressing sexual health.

RYAN WHITE SERVICES DIVISION

The Ryan White Part A program provides supportive services for people living with HIV across 10 counties in Massachusetts and New Hampshire.

HIV TREATMENT AND CARE

Understand the role of ART in HIV treatment, its benefits, possible side effects, and adherence strategies.

Learn about the stages of HIV care, from diagnosis to viral suppression, and the importance of regular medical check-ups.

Explore common health conditions associated with HIV, such as opportunistic infections, mental health issues, substance use, and the available treatment options.

HIV CASE MANAGEMENT SERVICES

Discover the key responsibilities and roles of HIV case managers, who provide comprehensive support, coordination, and advocacy for individuals living with HIV/AIDS.

Medical Case Management

Medical Case Management is the provision of a range of client-centered activities focused on improving health outcomes in support of the HIV care continuum. Activities provided under this service category may be provided by an interdisciplinary team that includes other specialty care providers. Medical Case Management includes a variety of encounters including face-to-face, phone contact, or via another form of telehealth, etc.

Key activities include:

• Initial assessment of service needs
• Development of a comprehensive, individualized care plan
• Timely and coordinated access to medically appropriate levels of health and support services and continuity of care
• Continuous client monitoring to assess the efficacy of the care plan
• Re-evaluation of the care plan at least every 6 months with adaptations as necessary
• Ongoing assessment of the client’s and other key family members’ needs and personal support systems
• Treatment adherence counseling to ensure readiness for and adherence to complex HIV treatments
• Client-specific advocacy and/or review of utilization of services

In addition to providing the medically oriented activities above, Medical Case Management may also provide benefits counseling by assisting eligible clients in obtaining access to other public and private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient Assistance Programs, other state or local health care and supportive services, and insurance plans through the health insurance Marketplaces/Exchanges).

• Activities provided under the Medical Case Management service category have as their objective improving health care outcomes whereas those provided under the Non-Medical Case Management service category have as their objective providing guidance and assistance in improving access to needed services.
• Visits to ensure readiness for, and adherence to, complex HIV treatments shall be considered Medical Case Management or Outpatient/Ambulatory Health Services. Treatment Adherence services provided during a Medical Case Management visit should be reported in the Medical Case Management service category whereas Treatment Adherence services provided during an Outpatient/Ambulatory Health Service visit should be reported under the Outpatient/Ambulatory Health Services category.

Goal: Engage clients who face significant challenges to enter and maintain treatment for their HIV.

Objective: Assess client needs and develop a Comprehensive Treatment Plan (CTP) that provides guidance and assistance in improving health care outcomes for people living with HIV.

Non-Medical Case Management

Non-Medical Case Management Services (NMCM) is the provision of a range of client-centered activities focused on improving access to and retention in needed core medical and support services. NMCM provides coordination, guidance, and assistance with accessing medical, social, community, legal, financial, employment, vocational, and/or other needed services. NMCM Services may also include assisting eligible clients to obtain access to other public and private programs for which they may be eligible, such as Medicaid, Children’s Health Insurance Program, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient Assistance Programs, Department of Labor or Education- funded services, other state or local health care and supportive services, or private health care coverage plans. NMCM Services includes a variety of types of encounters including (but not limited to) face-to-face, telehealth, phone contact, etc.

Key activities include:

• Initial assessment of service needs
• Development of a comprehensive, individualized care plan
• Timely and coordinated access to medically appropriate levels of health and support services and continuity of care
• Client-specific advocacy and/or review of utilization of services
• Continuous client monitoring to assess the efficacy of the care plan
• Re-evaluation of the care plan at least every 6 months with adaptations as necessary
• Ongoing assessment of the client’s and other key family members’ needs and personal support systems

NMCM Services have as their objective providing coordination, guidance and assistance in improving access to and retention in needed medical and support services to mitigate and eliminate barriers to HIV care services, whereas Medical Case Management Services have as their objective improving health care outcomes.

Goal: Enhance access to and retention in essential medical and social support service for people living with HIV. This is a human service approach that supports engagement and retention into medical care.

Objective: Assess client needs and develop an Individual Service Plan (ISP) that provides guidance and assistance in improving access to needed services. [1]