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Care Services for People with HIV and Their Families


Contra Costa County provides services for people with HIV to increase access to medical care and to help people to stay as healthy and as independent as possible. The core of our system revolves around medical case management services that provide service coordination to clients living with HIV based on their level of health.

Our network consists of Home-based and Clinic-based Medical Case Management, Community-based Medical Case Management, and Nursing Case Management Services. Referrals may include clinical provider referrals, substance abuse coordination, mental health, housing assistance, food, transportation, home care, emergency assistance, patient education support groups and other programs such as the AIDS Drug Assistance Program (ADAP), and linkages to HIV Prevention Services.

The HIV/AIDS & STD Program Medical Social Worker of the day serves as a centralized source of information and referral for people living with HIV in Contra Costa County. If you or someone you know is HIV+ and interested in finding out more about services in our county, call 925-313-6771 during regular business hours (8am-5pm) for more information.

Anyone who doesn't have private insurance can call Contra Costa Health Services' advice nurse line for free health advice any time 24 hours a day / 7 days a week including holidays. 1-877-661-6230, option 1.

In addition, if you have no health coverage, contact the Medical Case Management team at 925-313-6771 to discuss your options.

Patients with private insurance should call their plans' advice nurse lines.

When to Call 9-1-1

For any life-threatening medical or psychiatric emergencies, call 9-1-1 immediately.

When to Call an Advice Nurse

Advice nurses can help you figure out if you need to go to an Emergency Room, visit an urgent care clinic or make an appointment for the next day. Advice nurses also can provide information for self-care. You should consider calling an advice nurse for more minor issues like sore throat, earache, urinary tract infection, sinus infection symptoms, and other non-life-threatening conditions.

When to go to Urgent Care

An urgent care clinic offers immediate care for walk-ins or same day appointments for patients who need timely medical care but who are not having a medical emergency.

Medical Case Management

Medical Social Workers assist people with HIV by addressing their most immediate needs and connecting them with ongoing case management services. Our team's Public Health Nurses and Medical Social Workers provide clinic-based services at the West County Health Center, Pittsburg Health Center, Brentwood Health Center, and Contra Costa Regional Medical Center. Services: access to medical case management, education and prevention services, assistance with partner notification counseling, medication adherence support, AIDS Drug Assistance certification (ADAP), and access to medical care appointments as well as other community resources. Home-based services are also available for those who are severely ill or who are homebound.

Medical Social Workers provide support for individuals with HIV whose health status does not require the services of a nurse case manager. Medical Social Workers work closely with physicians and other providers to encourage adherence to the medical treatment plan. Contact the Medical Social Worker of the day at 925-313-6771 for more information on medical case management.

Nurse Case Management

A Public Health Nurse and a Medical Social Worker work as a team to provide case management services to people with severely disabling HIV or AIDS. Our goal is to assist clients in remaining independent and at home as long as safely possible. The team coordinates services including medical care, treatment adherence, attendant care, nutritional care and counseling, mental health, and substance abuse.

AIDS Drug Assistance Program (ADAP)

This program pays for medications that treat HIV. In order to be eligible for ADAP, a person must be HIV positive, a California resident over the age of 18, have limited or no prescription benefits, and meet financial eligibility requirements. For assistance call 925-313-6771.

OA-Health Insurance Premium Payment (OA-HIPP)

OA-HIPP is a State program that pays the monthly health insurance premiums for eligible California residents with an HIV/AIDS diagnosis. This program is available to individuals with health insurance who are at risk of losing it, as well as to individuals currently without health insurance who would like to purchase it.

Eligibility

To be eligible for the OA-HIPP program, you must:

  • Be enrolled in ADAP.
  • Have an HIV/AIDS diagnosis.
  • Be a California resident.
  • Be at least 18 years old.
  • Have an adjusted gross income of no more than $50,000.
  • NOT be enrolled in Medicare or Full-Scope (Free) Medi-Cal.
  • Have (or plan to get) a comprehensive health insurance plan with prescription drug benefits.
  • This program is not available to individuals whose insurance premiums are all or partially paid for by their employer.

Medical Social Workers can help you with the application process and submit the completed application to Office of AIDS (OA) on your behalf.

OA-HIPP clients can remain on the program as long as the services are needed and they continue to meet all the program requirements. Once approved and enrolled in the program, each OA-HIPP client will be required to re-enroll annually and re-certify six months later.

More information is available.

Early Intervention Services

Early Intervention Services (EIS) are available through Contra Costa Regional Medical Center's West County Health Center, Pittsburg Health Center, Brentwood Health Center, and Martinez Health Center. The goal of the EIS program is to keep individuals living with HIV healthier longer. Physicians knowledgeable in the latest HIV treatment guidelines provide specialty appointments in Infectious Disease Clinics. Medical Social Workers, Outreach Workers, and Nurses work as a team to support patients in making and keeping appointments, understanding their medications, and accessing necessary clinical and support services. Contact 925-313-6771 and ask to speak to the Medical Social Worker of the day to enroll in services.

Outreach and Linkage to Care

This program offers intensive outreach and support to clients who are new positives or have fallen out of care. This service is provided with the overall goal of improving health outcomes for disproportionately affected populations such as communities of color, transgender clients, pregnant women, and individuals who struggle with substance use, mental health issues, and/or homelessness. Outreach referrals are made for clients who have broken medical appointments, are missing labs or screening tests, have unsuppressed viral loads, poor CD4 response to antiretroviral therapy, or who need medication adherence support. Outreach is also provided to people living with HIV who have never been connected to care. Outreach activities include home visits, phone calls, collateral contacts, case conferencing, etc. to locate and help clients re-enter into comprehensive medical and supportive services. For questions, call Anuja Chand at 925-313-6783.

Partner Counseling & Referral Services (PCRS)

PCRS is a service that helps people who are HIV-positive (those living with HIV or AIDS) talk to their partners (current or past) who may have been exposed to HIV. PCRS is a free, voluntary, and confidential service. Call the HIV/AIDS & STD program at 925-313-6771 or toll-free at 1-800-287-0200 for more information about this service.