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HCFA's Maternal AIDS Initiative

The Health Care Financing Administration (HCFA) is a federal agency within the U.S. Department of Health and Human Services. It was created in 1977 to administer the Medicare and Medicaid programs.

HCFA's Maternal AIDS Consumer Information Project was created to increase patient and provider knowledge about the availability of treatments that reduce HIV transmission and to expand knowledge of Medicaid eligibility and prenatal care coverage. In this project, HCFA works with State Medicaid agencies and Departments of Health to provide Medicaid women of childbearing age with information regarding HIV testing and counseling which, in the event that they are HIV positive, enables them to make an informed decision about treatment of their HIV disease. This treatment can help prevent transmission of HIV to infants. Because there is a high percentage of minority women in Medicaid, HCFA also believes this project will have a positive impact on minority women's health outcomes.

The following are some background facts which led to HCFA's development of the Maternal AIDS Consumer Information Project:

Pilot Projects

On Worlds AIDS Day, December 1, 1995, the Maternal AIDS pilot started in four states: Rhode Island, Delaware, New Jersey (3 counties), and Florida (5 counties). These sites were chosen because of CDC statistics indicating the highest prevalence of HIV-infected women in the Northeast, along the Atlantic Coast, and in the Southeast.

In the summer of 1997, HCFA will expand the pilot to include ten states and eight metropolitan areas/counties/territories. These include:

Regional Office Pilot States Expansion States/Areas
Boston Rhode Island Connecticut
Rhode Island
New York New Jersey (3 counties) New Jersey
Puerto Rico
Philadelphia Delaware Delaware
Washington D.C.
Atlanta Florida (5 counties) Alabama
Chicago none Cook County, IL
Dallas none Texas
Kansas City none Kansas City
Denver none Denver
San Francisco none California
Seattle none Seattle

For further questions about HCFA's Maternal AIDS Initiative, contact one of the Regional Office AIDS Coordinators listed below:

RegionContact/Phone NumberContact/Phone Number
BostonMaureen Farley:
Paul Miller:
New YorkSteve Shaw:
212/264-2775 x225
PhiladelphiaTheresa Rubin:
AtlantaMichael McDaniel:
Mal Williams:
ChicagoSina Mercado:
DallasBill Brooks:
Kansas CityJames Scott:
DenverLaurie Konsella:
303/844-6216 x381
San FranciscoBruce Campbell:
Maureen Calacal:
SeattleLiz Trias:

For further information on Medicaid coverage offered to HIV positive pregnant women, contact Randy Graydon, Co-Director, Office of Beneficiary Services in HCFA Medicaid Bureau at 410/786-1357.

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This article was provided by U.S. Health Care Financing Administration. It is a part of the publication Pregnancy and HIV -- What Women and Doctors Need to Know. You can find this article online by typing this address into your Web browser:

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