Overview
- Support services are dependent on available funding.
- Supportive services may differ dependent on the funding source.
- Clients are required to meet eligibility criteria for each support services dependent on the program/funding source providing the service.
- All support services provided to a client must be supported by their Service Plan and must assist the client in maintaining a healthy lifestyle.
- In case of inadequate funding, priority services will be funded. Priority services include case management, medical care, medication, housing, and transportation. Funding for other services will be evaluated on a case-by-case basis.
Types of Supportive Services
Below is a list of the main support services provided by the Four A’s. Four A’s is the payor of last resort. Although eligibility for some grants is not income based, income is taken into account when determining the amount Four A’s will pay for a service. All services are dependent on funds available and eligibility.
Alternative/Holistic Medicine: All alternative/holistic medicine must be prescribed by a physician and would fall under the definition of “Outpatient/Ambulatory Medical Care”.
Education, Rehabilitation/Vocational Training & Self-Sufficiency: Educational assistance both in payment and in planning will be available to clients for the purposes of increasing vocational skills and/or increasing self-sufficiency. This assistance will be evaluated on a case-by-case basis and all other resources available will be accessed before grant funds are made available. This assistance will pay only for tuition, registration costs, and required supplies (i.e. books, tools).
Health Insurance/COBRA: Financial assistance for eligible individuals living with HIV to maintain a continuity of health insurance or to receive medical benefits under a health insurance program.
Home Health Care Services: Available to clients requiring these services, but who have no ability to pay for (or no benefits to cover) such services. The need for home health care services is identified by the attending physician. Maximum amount of $1,000.00 per month.
Medical Case Management: All clients at the Four A’s will receive case management services.
Medications: Assistance to purchase HIV and/or HIV related medications.
Mental Health Counseling: A client must have a mental health diagnosis and an assessment completed to access service.
Nutritional Program: Nutritional program includes a food pantry and meals for home bound clients.
Optical/Vision Care: The purchase of glasses may be available for those clients who require corrective lenses to perform daily living tasks, and for whom no other resources exist.
Oral Care: Includes diagnostic, preventive, and therapeutic services. Priority is given to emergency dental care (defined as dental care which is necessary to prevent or treat conditions which compromise health, particularly in the area of nutrition and potentially systemic infection) will be available on a limited basis and only with an approved dental care clinic. Preventative dental cleaning can also be paid if no insurance or financial ability is available.
Outpatient/Ambulatory Medical Care: Services must be HIV related and include but not limited to diagnostic testing, early intervention and risk assessment, prevention care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, educating on health issues and other HIV related issues. Does not pay for in-hospital care, emergency room visits or extensive treatments (i.e. chemotherapy).
Substance Abuse Services: Four A’s works with local treatment facilities to facilitate treatment and other support services for clients who have substance abuse issues. Treatment fees and other payments for substance abuse treatment services will be negotiated on a case-by-case basis and advocacy services will be provided by Four A’s staff. On site Substance Abuse counselor is also available.
Transportation: Available to clients for the purposes of obtaining medical care and attending necessary case management/housing appointments. This assistance will include rides in the Four A’s agency van, the purchase of a bus pass and/or bus tokens, and payment for taxi cabs. Priority for this assistance will be given to clients with poor health and/or limited transportation options.


