[Federal Register Volume 64, Number 42 (Thursday, March 4, 1999)]
[Notices]
[Pages 10479-10480]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-5325]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-2041-N]
RIN 0938-AJ43


Medicaid Program; Decision on Funding for the AIDS Healthcare 
Foundation START Program

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice.

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SUMMARY: This notice announces the award of a grant in the sum of $2 
million to the AIDS Healthcare Foundation of Los Angeles, California, 
for a demonstration project entitled, ``START PROGRAM: Success Through 
Anti-Retroviral Therapy.''

EFFECTIVE DATE: This notice is effective on February 25, 1999.

FOR FURTHER INFORMATION CONTACT: Wayne Smith, Ph.D., Center for 
Medicaid and State Operations, (410) 786-6762.

SUPPLEMENTARY INFORMATION: This notice announces the award of a $2 
million grant to the AIDS Healthcare Foundation of Los Angeles, 
California, for a demonstration project entitled, ``START PROGRAM: 
Success Through Anti-Retroviral Therapy.''
    The START program is a 4 to 6 week residential program designed to 
increase the ``adherence'' to HIV and AIDS medication regimens of 
individuals at high risk for non-adherence, or a history of non-
adherence. The objectives of the START program are as follows:
     Provide a supervised residential environment for 
initiation or continuation of the latest HIV medication therapies.
     Implement a structured educational program to meet the 
needs of the patient receiving complicated HIV treatment regimens.
     Provide psychosocial support to the patient hand her or 
his family.

[[Page 10480]]

     Provide direct observation therapy during residency until 
the patient demonstrates the knowledge and ability to self administer 
doses appropriately.
    The purpose of this grant is to demonstrate how compliance with the 
complicated medication regimen for people living with HIV and AIDS who 
are at high risk of noncompliance can be increased by a short-term 
residential treatment program. The START program provides these 
individuals with a sheltered, structured environment in which the 
regimen can be established and residents can be counseled and 
supported.
    This award is made based on the authority granted by section 1110 
of the Social Security Act (the Act). Section 1110 of the Act 
authorizes appropriations each fiscal year for grants to pay for part 
of the cost of research or demonstration projects that will improve the 
administration and effectiveness of programs. The demonstration project 
above has been reviewed by our specialists and has been deemed to meet 
these qualifications.

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
Assistance Program; No. 93.773 Medicare--Hospital Insurance Program; 
and No. 93.774, Medicare--Supplementary Medical Insurance Program)

    Dated: February 26, 1999.
Nancy-Ann Min DeParle,
Administrator, Health Care Financing, Administration.
[FR Doc. 99-5325 Filed 3-3-99; 8:45 am]
BILLING CODE 4120-01-P