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<aside> 📌 Case Management Continuum (CMC) consists of 4 service categories, but for the purposes of prioritizing and programming, these will be linked together:

  1. Medical Case Management (MCM)
  2. Non-Medical Case Management (NMCM)
  3. Health Education/Risk Reduction (Care Navigation)
  4. Referral to Services (RFS) </aside>

Program Overview

Case Management has played a vital role in HIV care since the early days of the HIV epidemic, addressing the diverse needs of people living with HIV (PLHIV). Part A transitioned to align with the Part B program, adopting a 4-tiered Continuum of Care model (also known as the “Case Management Continuum”).

The primary goal of this model is to ensure timely access and coordination of medical and support services for individuals, addressing barriers to care, empowering clients for self-management, and ultimately optimizing health outcomes. Despite its significance, the Case Management program has encountered challenges, leading to focused efforts, particularly in the last year, to improve access and address barriers, thereby ensuring better outcomes for PLHIV.

Service Funding and Allocation History

Barriers and Challenges

Community Feedback and Supporting Data

Future Plans

DHR Commentary

The 2023 Case Management Assessment highlighted issues such as high caseloads, turnover, inadequate pay, and service access challenges. DDPHE and CDPHE have been addressing these issues and will continue to do so. The Case Management Continuum (CMC) has taken on most of the work for Early Intervention Services (EIS), with EIS primarily supplementing case managers' salaries rather than serving its intended purpose of helping newly diagnosed individuals and those who have fallen out of medical care.


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