1. Who We Are
Our HIV department provides services for those diagnosed with HIV, along with HIV testing and counseling for those who wish to know their status. Additionally, we strive to prevent new infections, educate the community, and serve as a resource for providers.
2. What We Do
We understand that being diagnosed with HIV/AIDs poses unique health and life challenges that require closer attention. We seek to address these challenges in our client-centered, non-judgmental, zero stigma CARE case management program in which clients work one-on-one with a case manager to address their needs. We are an AIDs Drug Assistance Program enrollment site and can provide guidance on drug coverage applications for out of pocket costs of medications and health premiums for clients who qualify. Our HIV surveillance team educates the community on HIV prevention in addition to monitoring, investigating, and HIV reporting for the California Department of Public Health.
Did you know? HIV is considered a chronic manageable disease and studies now show that if people who are living with HIV are taking their medications daily, their HIV viral load is undetectable, they are routinely seeing their provider, and they are healthy, there is no risk that HIV can be passed onto their partners.
Davina's Story - (subtitles) I
3. What We Offer
The Care Program is intended to serve as a program of last resort. Enrollment priority will be given to those who are under-employed or unemployed and/or do not qualify for any other insurance.
The goal of the Ryan White HIV/AIDS Care Program is to improve the quality of life of people living with HIV and reduce further transmission of the disease. Stanislaus County residents who have a confirmed HIV diagnosis, live below the 500% federal poverty level (FPL), and do not qualify for another paying source are eligible to enroll in the program.
Care Services include:
- Access to health insurance and medical services for the uninsured
- Access to medical services for those with a lapse in health insurance
- Medical and non-medical case management
- Medical and mental health assessments
- Guidance Counseling
- Health education
- Risk reduction counseling
- Some transportation and supplemental nutrition assistance
- Referrals to community partners for all other support services including housing, food, utilities, legal, and many more
HIV treatment does not have to mean going broke! If you are a single individual, positive with HIV, and making $62,450 per year or less, you qualify for ADAP. Please see the Federal Poverty Level guidelines to help determine income eligibility for those with a larger household size.
The AIDS Drug Assistance Program (ADAP) ensures timely access to approved HIV medications for low-income people living with HIV who have limited, a lapse in, or no health coverage from private insurance, Medicaid/Medi-Cal, or Medicare. Continued access and adherence to HIV medications reduces the risk of HIV transmission, the risk of drug resistance, prevents further illnesses, and increases overall health and life expectancy.
ADAP Eligibility requirements:
- Proof of Identity
- Proof of California residency
- Proof of HIV infection via a positive QuantiFERON labs or diagnosis letter
- Proof of Income with a Modified Adjusted Gross Income (MAGI) that does not exceed the 500% Federal Poverty Level based on family size and household income
- Have a valid prescription from a licensed California physician; and
- Proof of Medi-cal ineligibility or lacking private insurance that covers medications.
PrEP, also known as Pre-Exposure Prophylaxis, is a medication to prevent HIV. Currently, Truvada and Descovy are the only medications approved for PrEP.
For clients who are uninsured or insured but lacking coverage, our ADAP enrollment workers can assist with the Gilead application to see if a client can qualify for low cost or no cost medication. Additionally, enrollment workers will assist with the ADAP application, which helps with coverage for medical visit and lab costs. Clients who qualify will be sent to be evaluated by providers from PlushCare, a Telemedicine company, to confirm if they will be a good candidate for PrEP.
Clients will simply need to provide a proof of income and identification to start the process.
For those who are a contact to someone who is HIV positive and is not taking anti-retroviral medications or not in medical care, it is recommended to test right away. There is also an option to take post-exposure prophylaxis (PEP), a medication that can prevent HIV after exposure. However, PEP should only be used in emergency situations and must be started within 72 hours after a recent exposure.
If there is a chance of HIV exposure during sex or sharing needles, please consult a health care provider or go to an emergency room. If deemed necessary, doctors can prescribe PEP, which must be taken once or twice daily for 28 days. Please note that PEP is not 100% effective.
For more information, please see our resources for HIV education from the CDC.
In addition to our Ryan White services, our HIV staff can also provide anonymous and confidential HIV testing and counseling for those who are not aware of their status. As part of the Getting to Zero initiative, we recommend all persons who are sexually active, at minimum, test yearly to know their status. For those who partake in risky behaviors, it is recommended to test routinely twice per year.
What risky behaviors leads to increased chances of getting HIV?
- Unprotected sex with multiple partners; this means having sex without a condom or not taking medications to prevent HIV.
- Anal sex, especially being a receptive partner (or bottom), without condom.
- Having a history of or current diagnosis of a sexually transmitted infection, such as chlamydia, gonorrhea, syphilis, bacterial vaginosis, and herpes. Other STI’s increase risk of getting HIV due to greater chances of being exposed to the virus.
- Use of drugs or alcohol can increase risks because substances impair judgement which can make people take risks they would not ordinarily take. This includes sharing needles or syringes.
Other Testing Sites
For patients who need complete STI screenings including HIV, it is best to talk to your primary care physician. Other testing sites in our community that can also provide full screening include:
McHenry Medical Office (MMO) 1209 Woodrow Ave., Modesto 209-558-5312 http://www.schsa.org/clinics/
Paradise Medical Office (PMO) 401 Paradise Rd., Modesto 209-558-7000 http://www.schsa.org/clinics/
FPA Women's Health https://www.fpawomenshealth.com/locations
Planned Parenthood https://www.plannedparenthood.org/health-center
Reporting and Referral Procedure for HIV Services
For medical providers, including hospitals and community organizations:
Reporting is Mandated by Title 17, California Code of Regulations. Please see the Reportable Diseases and Conditions in Stanislaus County. To report by phone, please call 209-558-7356.
If a patient is newly diagnosed or have been out of care/non-adherent, please contact us as soon as possible to help initiate rapid linkage to care. Time is of essence for these patients. The sooner they can start or restart their medications, the better the outcome for these patients.
If a patient is already in care and taking medications but just need extra assistance, feel free to reach out to us regarding these patients if they are interested in our services. Resources are available for clients as needed should they qualify for services.
- HIV Basics
- CDPH Office of AIDs
- AIDs Drug Assistance Program (ADAP)
- Ryan White HIV CARE Program, Part B
- Undetectable = Untransmittable Campaign
- Positive Series Campaign
- U=U Factsheet
- Sin Verguenza is a short telenovela addressing how HIV stigma affects families and relationships. Access the entire mini-series here.
- Community Impact Central Valley (CICV) including Housing for People Living with HIV/AIDS (HOPWA)
- Outreach and Engagement Center for the Homeless
- Other Housing Programs
- Utility Assistance
- Mental and Behavioral Health
- Second Harvest Food Bank
Click here for STD resources.