Office of Aids

CALIFORNIA STATE AUDITOR 1 July 2025 | Report 2024-116 Table B OA Programs and the Allocation Formulas It Uses to Fund Them AVERAGE VALUE DESCRIPTION OF SERVICES AND RESPONSIBLE OF REVIEWED PROGRAM NAME OA BRANCH ALLOCATION TYPE CONTRACTS ADAP BRANCH Enrollment Sites Provides funding for enrollment sites in which Zero-dollar contract.* Not Applicable eligible clients can enroll into ADAP and Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) services. The OA pays the contractor for services rendered in accordance with an established fee schedule. Clinical Provider— Provides funding to contractors to assess client Zero-dollar contract.* Not Applicable PrEP‑Assistance eligibility for PrEP, provide PrEP and Post-Exposure Program Network Prophylaxis (PEP) in accordance with current CDC guidelines, provide PrEP-AP-related clinical and outpatient services, and refers new uninsured clients to a PrEP-AP Network Provider for clinical assessments for PrEP treatment. The OA reimburses contractors for these services based on rates established by the Centers for Medicare and Medicaid Services. PrEP‑PEP Temporary Provides funding to authorized pharmacies to Zero-dollar contract.* Not Applicable Coverage Site provide clients with 30 days of temporary eligibility for PrEP-AP in order to obtain PrEP or PEP. The OA pays the contractor for services provided based on rates established by the ADAP Enrollment Site Fee for Service Pay Schedule. Tele‑Health Services Provides tele-health services to expand PrEP-AP client Funding award based on competitive $3,980,270 access to PrEP/PEP services. request for proposal bidding process. Project Cornerstone Funding initiative for health demonstration projects Funding award based on competitive RFA 1,050,000 to provide clinical and nonclinical services for people bidding process. over age 50 living with HIV (PLWH50+). The intention of this initiative is to help build a foundation of understanding on how to meet the specific needs of PLWH50+, while also helping them build community. CARE BRANCH Care Program Federal HIV care program that provides funding Funding formula; three-year average $8,282,089 for core HIV care and support services. The OA expenditures; 90 percent weighted + uses a funding formula to allocate local assistance five-year average estimate of people living to subrecipients. with HIV (PLWH); 5 percent weighted + five-year average estimate of people in poverty; 5 percent weighted. HOPWA HUD-funded program that assists with housing needs Funding formula; most recent year’s 1,603,543 for low-income people living with HIV/AIDS (PLWHA). estimate of PLWHA; 50 percent weighted + five-year average of estimate of people living in poverty; 37.5 percent weighted + most recent year’s Fair Market Rent data; 12.5 percent weighted. Medi-Cal Waiver A program to provide enhanced case management Zero-dollar contract.* Not Applicable Program (MCWP) and direct care services to participants diagnosed with HIV as an alternative to nursing facility care or hospitalization. The Department of Health Care Services pays the contractor a service-based rate per eligible, enrolled MCWP participant. continued on next page … CALIFORNIA STATE AUDITOR 2 July 2025 | Report 2024-116 AVERAGE VALUE DESCRIPTION OF SERVICES AND RESPONSIBLE OF REVIEWED PROGRAM NAME OA BRANCH ALLOCATION TYPE CONTRACTS PREVENTION BRANCH PrEP/PEP A program to reduce barriers and increase access to Funding award based on competitive RFA $925,530 Navigator Services PrEP and PEP medication. bidding process. Strategic Health demonstration projects to deliver rapid Funding award based on competitive RFA 997,303 Rapid Antiretroviral antiretroviral treatment to people living with HIV-with bidding process. Treatment Program a focus on serving individuals from populations disproportionally affected by HIV. Project Empowerment Provides funding to eligible entities to improve viral Funding award based on competitive RFA 2,000,000 suppression among Black and Latinx people living bidding process. with HIV, and to prevent HIV acquisition among Black/African American and Latinx people who are particularly vulnerable to HIV. Enhanced Provides funding to strengthen disease investigation Funding award based on the percent of 1,366,535 Integration Grants infrastructure, expand and provide navigation PLWH in the jurisdiction according to services, and expand access to syringe services for 2016 HIV surveillance data, the percent of people who inject drugs. African Americans living in the jurisdiction according to census data, the percent of Latinx people living in the jurisdiction according to census data, and the percent of people living below the poverty line in the jurisdiction according to census data. SURVEILLANCE BRANCH National HIV Behavioral The National HIV Behavioral Surveillance (NHBS) Funding award based on competitive RFA $1,700,000 Surveillance Program System is a national health survey that collects bidding process. information on sexual risk, drug use, HIV testing behaviors, and HIV seroprevalence from populations at highest risk for HIV infection—men who have sex with men, people who inject drugs and low-income heterosexual people. NHBS collect data from these populations each year on a rotating basis. NHBS is designed, coordinated, and funded by the CDC. Source: OA program documents. * Zero-dollar contracts are contracts that the OA awards to applicants that meet specific eligibility criteria to provide predetermined services at predetermined rates.