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December Front Page

The National Center for Health and the Aging (NCHATA), a project of North American Management, is supported in part by a cooperative agreement grant awarded by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA).


The National Center for Health and the Aging provides training and technical assistance to strengthen the capacity of federally-funded health centers to increase access to health care, eliminate health disparities and enhance health care delivery for the 39 million or 13 percent of Americans aged 65 years age and older.

Because of the unique needs and common barriers of social determinants of health, elderly require intense and targeted outreach and assistance to access health services. To increase the capacity and improve the performance of HRSA supported health center grantees and other safety net providers in meeting the specialized health care needs of the elderly, The National Center for Health and the Aging has developed materials for training and education; disseminated best practices; mentored new grantees.



Medicare Open Enrollment

Medicare Open Enrollment ended on December 7. If someone missed the Open Enrollment Period and is truly dissatisfied with their Medicare Advantage plan, there is a Medicare Advantage Disenrollment Period (MADP) that lasts from January 1 to February 14 of the following year. A person in a Medicare Advantage Plan can leave their plan, switch to Original Medicare, and join a Medicare Prescription Drug Plan to add drug coverage during this period. Learn more about joining a health or drug plan.
There are specific times when a person can sign up for a Medicare Advantage Plan (like an HMO or PPO) or Medicare prescription drug coverage . They can also make changes to existing coverage:

1. If they first become eligible for Medicare or turn 65 during the Initial Enrollment Period
2. During certain yearly enrollment periods
3. Under certain circumstances that qualify the person for a Special Enrollment Period (SEP)

Learn more about the Medicare C & D enrollment periods and be sure to take advantage of everything Medicare has to offer.

[1] Understanding Medicare Part C & D Enrollment Periods. Centers for Medicare and Medicaid Services, Oct. 2012. Web. Dec. 2013.



AIDS Awareness

CDC estimates that 1.1 million people in the United States are living with HIV – and nearly one in five of those are not aware that they are infected[1].

AIDS (Acquired Immune Deficiency Syndrome) is a disease caused by HIV (Human Immunodeficiency Virus).  HIV is found in the body fluids (such as semen and vaginal fluids, or blood and breast milk) of an infected person.  HIV cannot be transmitted through routine daily activities such as using a toilet seat, sharing food utensils or drinking glasses, or shaking hands.  HIV can be transmitted through[2]:

  • Sexual contact
  • Pregnancy, Childbirth, & Breast Feeding
  • Injection Drug Use
  • Occupational Exposure
  • Blood Transfusion/Organ Transplant  (rarely)

Socioeconomic status (SES) can affect a person’s risk of getting HIV.  A lack of socioeconomic resources is linked to practice of riskier health behaviors (e.g. earlier initiation of sexual activity and less frequent use of condoms), which can lead to the contraction of HIV.   Also, SES often affects access to and initiation of HIV treatment[3]. In 2011, Public Housing Primary Care Health Center grantees saw 775 patients with HIV.   Almost 15,000 patients received an HIV test.

There is no cure for HIV/AIDS, but a variety of drugs can be used in combination to control the virus. Though it can be difficult to adhere to the treatment regimen, a combination of HIV medications are helping people live longer with HIV before they develop AIDS.

Learn the facts about HIV/AIDS , your HIV status, and help stop the spread of HIV/AIDS.



[1]. CDC. HIV in the United States: At A Glance. (2013, November).  HIV/AIDS Fact Sheets. Retrieved December 4, 2013.

[2] US HHS. HIV/AIDS -Transmission. (2009, March 25). National Institute of Allergy and Infectious Diseases. Retrieved December 4, 2013.

[3] APA. HIV/AIDS & Socioeconomic Status. (n.d.). Retrieved December 4, 2013.


The Health Resources and Services Administration (HRSA) has released Policy Information Notice (PIN) 2013-01: Health Center Budgeting and Accounting Requirements. The PIN is available at: http://bphc.hrsa.gov/policiesregulations/policies/pin201301.html