Home and Community-Based Health Services
HRSA Service Definition
Home and Community-Based Health Services are provided to a client living with HIV in an integrated setting appropriate to a client’s needs, based on a written plan of care established by a medical care team under the direction of a licensed clinical provider.
Services include:
- Appropriate mental health, developmental, and rehabilitation services
- Day treatment or other partial hospitalization services
- Durable medical equipment
- Home health aide services and personal care services in the home
Program Guidance:
Inpatient hospitals, nursing homes, and other long-term care facilities are not considered an integrated setting for the purposes of providing home and community-based health services.
Number of Clients Served, Units Provided, Expenditures, Allocation, and Over/Under-spending
The Philadelphia EMA has not funded this service in the last five years.
Funding by Part, and info on any other payers
| Total Part A Funds (Formula + Supp.) | MAI | Total Part B Funds (Formula + Supp. NJ) | Total Part B Funds (Formula + Supp. PA) | Total Part C EIS Funds (State & Local) | Total Part D Funds (State & Local) | Total Part F Funds | |
|---|---|---|---|---|---|---|---|
| Last Year Allocation | |||||||
| Current Allocation |
Consumer survey info 2017 n=392
| n | Used in the last 12 months | Needed but did not get (last 12 months) | |
|---|---|---|---|
| Home and Community-Based Health Services | 90 | 48.9% | 51.1% |
Community Survey 2022 Service Responses n=236
| I never personally needed this service | I needed this service and received it | I needed but did not get this service | I never heard of this service | |
|---|---|---|---|---|
| Home and Community-Based Health Services | 51.27% | 11.86% | 5.51% | 4.24% |
Unmet need
For the purposes of this document, need is based on the response of a consumer when asked if there was a service they needed. MMP interviews patients in care and asks consumers if they need a service and if they receive it. Client services unit data identifies needs at the time of initial intake.
| 2020-2022 MMP Percent with a Need | 2023 Client Services Unit Need at Intake | |
|---|---|---|
| Home and Community-Based Health Services | - | - |
Recipient Service Considerations
TBD