KRS 214.650: Review of HIV and AIDS care coordination -- Surveillance of newborns

exposed to HIV -- HIV and AIDS pharmacological services.

(1) The cabinet shall:

(a) Conduct a review of any guidelines for HIV or acquired immunodeficiency

syndrome (AIDS) care coordination to ensure:

1. Consistency;

2. Comprehensive in service; and

3. That access to health care and sustaining individuals infected with

HIV/AIDS in primary HIV -related medical care is the top priority for

care coordinators;

(b) Conduct objective peer re views, as necessary, of each care coordination

agency to insure that care coordinators are in compliance with the care

coordination guidelines;

(c) Conduct outcome evaluations, as necessary and as permitted by funding

limitations, to measure the quality an d impact of the care coordinator delivery

system;

(d) Review the need for additional care coordinators to assure that client

caseloads are manageable and, to the extent that funds are available, strive for

a maximum client caseload of forty (40) to fifty ( 50) clients per care

coordinator. If, after this review, the cabinet finds the need for additional staff,

it may develop a plan and request funding for the hiring of additional care

coordinators in the geographic areas of greatest need;

(e) Review eligibil ity criteria for persons who wish to receive treatment

medications through the Kentucky AIDS Drug Assistance Program to ensure

that these funds are the funds of last resort;

(f) Review the data collected under KRS 214.645 to determine whether allocated

resources are sufficiently distributed to meet the geographic distribution of

reported HIV and AIDS cases;

(g) Work with other agencies, departments, and cabinets to advise on their

development of educational HIV and AIDS programs that are mandated by

law;

(h) Urge access to Spanish-speaking interpreters to provide prevention, treatment,

and service efforts where needed in the Commonwealth;

(i) Provide for consistent and comprehensive HIV and AIDS counseling and

testing education in all public health departments as needed;

(j) Require collaboration between HIV prevention educators and HIV care

coordinators with the goal of reducing the further tr ansmission of HIV by

those already infected; and

(k) Encourage community -based organizations to develop an outreach program

designed to foster active partnerships with willing faith -based communities.

These partnerships may be used to educate community mem bers about illegal

drug use, the value of harm reduction programs, and HIV and AIDS

prevention and services.

(2) Authorized surveillance staff designated by the cabinet shall review all known cases

of newborns with perinatal exposure to HIV infection or with HIV infection.

(3) Any pharmacy or clinic that provides HIV or AIDS-related medications through the

Kentucky AIDS Drug Assistance Program or any other state assistance program

shall:

(a) Be encouraged to provide pharmacological consultation reimbursemen t with

written documentation. Documentation may include date of interview,

assessment of timely drug refills, side effects, problems, remediation,

outcomes noted, and the pharmacist's HIV specialized physician; and

(b) Be encouraged to seek HIV pharmacolog ical certification in addition to

already recommended continuing education training on HIV and AIDS.