Crosswalk

Ryan White HIV/AIDS Program Annual Data Report Crosswalk:
Summary of changes in the 2008 Ryan White Data Report (RDR) versus
the 2005 Ryan White CARE Act Data Report (CADR)

Global Changes

The following references have changed throughout the data report:

2008 Reference	2005 Reference	Description of change
Ryan White HIV/AIDS Program Annual Data Report (RDR)	Ryan White CARE Act Data Report (CADR)	Change in report name.
Part A	Title I	Change in funding source name.
Part B	Title II	Change in funding source name.
Part C	Title III	Change in funding source name.
Part D	Title IV	Change in funding source name.
Outpatient/ambulatory medical care	Ambulatory/Outpatient medical care	Change in word order.
Part D, including the Adolescent Initiative	Title IV Adolescent Initiative	Multiply funded Adolescent Initiative providers no longer report youth and non-youth data in separate reports.
Race/Ethnicity Race Categories American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White More than one race Not reported Ethnicity Categories Hispanic & Non-Hispanic	Race/Ethnicity Categories White (not Hispanic) Black or African American (not Hispanic) Hispanic or Latino(a) Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native More than one race Unknown/ unreported	Data on client ethnicity (Hispanic or Non-Hispanic) are reported along with each client’s race category in the 2008 version. Race categories are now listed in alphabetical order. “Not Reported” is included to report those individuals who choose not to report race and/or ethnicity.

Section 1 - Service Provider Information

Item in 2008		2008 Item Name	Item in 2005	2005 Item Name	Description of change
10	Part D (Including Adolescent Initiative)		10	Title IV	In the 2008 version, Title IV and Title IV Adolescent Initiative are combined into one funding source category, Part D (Including Adolescent Initiative.)
				Title IV Adolescent Initiative
11a	Amount of Part A funding		11a	“Total amount of Title specific (Title I, II, III, or IV) funding received during this reporting period (rounded to the nearest dollar)”	In the 2008 version, “received” has been changed to “expended” and defined in the instructions to read “Expended means the amount of money spent providing services directly to clients and on any other grant-related activities.”
12a	Amount of Part B funding		12a
13a	Amount of Part C funding		13a
14a	Amount of Part D funding		14a

Section 2 - Client Information

Item in 2008		2008 Item Name	Item in 2005	2005 Item Name	Description of change
Section 2 Instruction	“…whether receiving core medical services or support services.”		Section 2 Instruction	“… whether receiving medical care or social support services.”	Change in wording.
27	Race and Ethnicity		27	Race/Ethnicity	Race and ethnicity data for HIV-Positive/indeterminate and HIV-affected clients were combined and reported in a single item in the 2005 version. In the 2008 version, client data on ethnicity are reported separately. See Race/Ethnicity under Global Changes on p. 1.
27a	HIV-Positive/indeterminate		N/A	N/A
27b	HIV-Affected		N/A	N/A

Section 3- Service Information

Changes in the service definitions are noted below. Please refer to the glossary in the 2008 Ryan White HIV/AIDS Program Data Report Instructions for complete definitions.

Item in 2008		2008 Service Category	Item in 2005	2005 Service Category	Description of Change
33	Core Services		33	N/A	Services "a" through "l" are categorized as Core Services in the 2008 version. In 2008, cells for reporting core services to affected clients have been closed. Part D may no longer provide core services to affected clients.
a.	Outpatient/ambulatory medical services		a.	Ambulatory/outpatient medical care	Change in word order. Part C and D programs report Early Intervention Services here. Revised definition in glossary.
b.	AIDS Pharmaceutical Assistance (local)		N/A	N/A	AIDS Pharmaceutical Assistance (local) was not listed as a service category in the 2005 version. Revised definition for APA (AIDS Pharmaceutical Assistance) included in glossary.
c.	Oral health care		c.	Oral health care	No change.
d.	Early intervention services (Parts A and B)		q.	Early intervention services for Titles I and II	Service name change from Early intervention services (EIS) for Titles I and II to Early intervention services (Parts A and B). Part A and B programs report Early Intervention Services in "d." Part C and D programs report Early Intervention Services in service "a" -Outpatient/ambulatory medical services. See service definitions in glossary for more information.
e.	Health Insurance Premium & Cost Sharing Assistance		N/A	N/A	Health Insurance Premium & Cost Sharing Assistance was not listed as a service category in the 2005 version. No change to the service definition, which is listed in the glossary as Health Insurance Program (HIP).
f.	Home health care		i.	Home health: specialized care	The 2005 service categories, Home health: specialized care, Home health professional care, and Home health: para-professional care, have been replaced by two service categories in the 2008 version. The service categories are Home health care, which is listed as item “f,” and Home and community-based health services, which is listed as item “g.” Services that were classified as Home Health: Para-professional care in 2005 should be classified as Home and Community-based Health Services in 2008. Services classified as Home health: specialized care and Home health: professional care in 2005 can be classified as either Home health care or Home and community-based health services in 2008. NOTE: (1) Home and community-based health services require a written “care plan” be established by a case management team that includes medical professionals. (2) Home health care services must be provided by licensed professionals.
g.	Home and community-based health services		g.	Home health: para-professional care
			h.	Home health: professional care
h.	Hospice services		ac.	Residential or in-home hospice care	Change in service name. Definition revised for clarity.
i.	Mental health services		b.	Mental health services	Mental health services is listed as service "i" in the 2008 version. No change in service definition.
j.	Medical nutrition therapy		w.	Nutrition counseling	Service name changed to Medical nutrition therapy and is listed as service "j" in the 2008 version. Revised definition in glossary.
k.	Medical case management (including treatment adherence)		j.	Case management services	Case management services in the 2005 version are split into two categories in the 2008 version. Medical case management (including treatment adherence) is listed as service "k" and must include the coordination and follow-up of medical treatment. Case management (non-medical) is listed as service "m." See service definitions in glossary for more information.
l.	Substance abuse services - outpatient		d.	Substance abuse services-outpatient	Substance abuse services- outpatient is listed as service "l" in the 2008 version. No change in service definition.
	Support Services			N/A	Services "m" through "ad" are categorized as Support Services in the 2008 version.
m.	Case management (non-medical)		j.	Case management services	Case management services in the 2005 version are split into two categories in the 2008 version. Case management (non-medical) service is listed as service "m" and does not include the coordination and follow-up of medical treatment. Medical case management (including treatment adherence) is listed as service "k." See service definitions in glossary for more information.
n.	Child care services		l.	Child care services	Child care services is listed as service "n" in the 2008 version. No change in service definition.
o.	Pediatric development assessment/early intervention services		p.	Developmental assessment/early intervention services	Change in service name to Pediatric development assessment/early intervention services and is listed as service "o" in the 2008 version. Change in service definition wording only.
p.	Emergency financial assistance		r.	Emergency financial assistance	Emergency financial assistance is listed as service "p" in the 2008 version. Part A and B programs report these funds as specified in DSS Program Policy Guidance No. 2. Revised definition in glossary.
q.	Food bank/home-delivered meals		s.	Food bank/home-delivered meals	Food bank/home-delivered meals is listed as service "q" in the 2008 version. Definition revised for clarity.
r.	Health education/risk reduction		t.	Health education/risk reduction	Health education/risk reduction is listed as service "r" in the 2008 version. No change in service definition.
s.	Housing services		u.	Housing services	Housing Services is listed as service "s" in the 2008 version. Definition has been expanded for clarity.
t.	Legal services		v.	Legal services	Legal services is listed as service "t" in the 2008 version. Definition revised for clarity.
u.	Linguistics services		N/A	N/A	Linguistics services is a new service category in the 2008 version. See service definition in glossary for more information.
v.	Medical transportation services		ad.	Transportation services	Service name changed to Medical transportation services and is listed as service "v" in the 2008 version. Transportation for support services is no longer included. See service definition in glossary for more information.
w.	Outreach services		x.	Outreach services	Outreach services is listed as service "w" in the 2008 version. Definition revised for clarity.
x.	Permanency planning		y.	Permanency planning	Permanency planning is listed as service "x" in the 2008 version. No change in service definition.
y.	Psychosocial support services		z.	Psychosocial support services	Psychosocial support services is listed as service "y" in the 2008 version. Definition revised for clarity.
z.	Referral for health care/supportive services		aa.	Referral for health care/supportive services	Referral for health care/supportive services is listed as service "z" in the 2008 version. Definition revised for clarity.
aa.	Rehabilitation services		f.	Rehabilitation services	Rehabilitation services is listed as service "aa" in the 2008 version. No change in service definition.
ab.	Respite care		o.	Day or respite care for adults	Change in service name. Definition revised for clarity.
ac.	Substance abuse services ─ residential		e.	Substance abuse services ─ residential	Substance abuse services- residential is listed as service "ac" in the 2008 version. Definition revised for clarity.
ad.	Treatment adherence counseling		ae.	Treatment adherence counseling	Treatment adherence counseling is listed as service "ad" in the 2008 version. Treatment adherence counseling conducted by non-medical personnel outside of a medical case management visit should be reported here. Definition revised for clarity.
N/A	Deleted		k.	Buddy/companion service	These services are no longer eligible to be funded by the Ryan White HIV/AIDS Program.
N/A	Deleted		m.	Child welfare services
N/A	Deleted		n.	Client advocacy
N/A	Deleted		ab.	Referrals to clinic research
N/A	Deleted		af.	Other services

Section 4 – HIV Counseling and Testing

Item in 2008	2008 Item Name/Order	Item in 2005	2005 Item Name/Order	Description of change
35	“(Skip to Section 5 if you selected scope “02.”)”	35	“(Skip to Section 5 if you selected scope “02” and do not wish to continue with this section.)”	Change in instruction. Grantees that select “NO” for item 35 and select reporting scope “02” are required to skip to Section 5.
37	“How many individuals were tested for HIV antibodies during…”	37	“Of the individuals who received HIV pretest…”	Item 37 is no longer a subset of Item 36, because pretest counseling is not required by all programs.
38	“…who were tested for HIV antibodies (Item 37 above), …”	38	“…who received pretest counseling and were…”	Item 38 is no longer a subset of Item 36, because pretest counseling is not required by all programs
39	“Of the individuals who were tested for HIV antibodies…”	39	“Of the individuals who received pretest…”	Item 39 is no longer a subset of Item 36, because pretest counseling is not required by all programs. required under all program parts.

Section 5 – Medical Information

Item in 2008	2008 Item Name/Order	Item in 2005	2005 Item Name/Order	Description of change
Section 5 Instruction	“…visit during the reporting period. It is expected that grantees…”	Section 5 Instruction	“…visit during the reporting period.”	Additional instruction has been included in the 2008 version: “It is expected that grantees who contract with multiple fee for service medical providers will report the medical information for all providers that do not complete a Data Report.”
44	“Clients with more than...,except for males with a history of both sex with men and injection drug use.”	44	“Persons with more than …,except for individuals with a history of both homosexual/bisexual contact and injection drug use.”	Change in description of exposure category.
47	Latent Tuberculosis (TB) testing	47	Tuberculosis (TB) skin test	Because a blood test for Tuberculosis is now available, references to the PPD skin test in Items 47a, and 47b have been changed to “latent TB test (skin or blood).”
47c	“Indeterminate”	N/A	N/A	Data must now be reported for clients whose TB tests are “Indeterminate.”
48	“…(other than syphilis)”	48	“…(other than syphilis and HIV)”	Both subcategories for Item 48, Screening/testing & Treatment for an STI, no longer include the term HIV since Section 5 is restricted to HIV+ clients.
52	“…and cervical Pap test…”	52	“…and Pap smear…”	Change in description of test.
53	Pregnancy	53	Pregnant Women	Change in wording.
	“…women…”		“…clients…”	Changed references throughout the item from clients to women to make the wording more precise.

Section 6 – Demographic Tables/Part-Specific Data for Parts C and D

Item in 2008	2008 Item Name/Order		Item in 2005		2005 Item Name/Order		Description of change
Section 6.1 Instruction	“…funding source for that service. Primary health care services include…”		Section 6.1 Instruction		“…, funding source for that service.”		Section 6.1 Instructions in the 2008 version have been revised and expanded for clarification.
58		Race and Ethnicity (of HIV-positive/indeterminate clients) reported in Item 55a		58		Race/Ethnicity (of HIV-positive/indeterminate clients) reported in #55a		Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)
59 Instruction	“Number of clients…who received at least one primary health care service…”		59 Instruction		“Number of patients…”		Modified instructions to for clarity.
59	Part C demographic data table: HIV-positive/indeterminate clients reported by race, ethnicity, gender and age						Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)
60 Instruction	“Number of clients…who received at least one primary health care service…”		59 Instruction		“Number of patients…”		Modified instructions to for clarity.
60	Part C demographic data table: HIV-positive/indeterminate clients reported by HIV exposure category, gender, race and ethnicity						Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)
62 Footnote “*”	“…substance abuse treatment, medical case management, and pharmacy services…”		62 Footnote		“…substance abuse treatment and pharmacy services…”		Added service category “medical case management” to the footnote in the 2008 version because it is a new primary health care service.
62 Footnote “†”	”Includes non-medical case management and eligibility assistance, outreach, social work, health education, and risk reduction.”		62 Footnote		”Includes case management and eligibility assistance, outreach, social work, prevention education…”		Modified service items listed under “Other program” for clarity and consistency with reauthorization language.
64 Instruction	“…who were HIV-positive or HIV-indeterminate during this…”		64 Instruction		“…who were HIV-positive during the…”		HIV-indeterminate included in the 2008 version.
64	Primary health care services chart
a.	Outpatient/ambulatory medical care		a.		Ambulatory/outpatient medical care		Change in word order.
e.	Medical case management		N/A		N/A		Medical case management is a new primary health care service in the 2008 version.
f.	Medical nutrition therapy		g.		Nutritional counseling		Change in service name. Medical nutrition therapy is listed as service “f” in the 2008 version. Definition now includes the “provision of nutritional supplements.”
g.	Mental health services		e.		Mental health services		Mental health services is listed as service “g” in the 2008 version.
h.	Neurology		f.		Neurology		Neurology is listed as service “h” in the 2008 version.
i	Obstetrics/gynecology		h.		Obstetrics/gynecology		Obstetrics/gynecology is listed as service “i" in the 2008 version.
j.	Optometry/ophthalmology		i.		Optometry/ ophthalmology		Optometry/ophthalmology is listed as service “j” in the 2008 version.
k.	Oral health care		j.		Oral health care		Oral health care is listed as service “k” in the 2008 version.
N/A	deleted		n.		Not applicable		Not applicable is no longer an option.
70	Race and Ethnicity		27		Race/Ethnicity		Race and ethnicity data for HIV-positive/indeterminate and HIV-affected clients were combined and reported in a single item in the 2005 version. In the 2008 version, data on client ethnicity (Hispanic or Non-Hispanic) are reported along with each client’s race category. (See Global Changes on page 1.)
70a	HIV-positive/indeterminate		N/A		N/A
70b	HIV-affected		N/A		N/A
72	Part D demographic data table: clients reported by race, ethnicity, HIV status and age						Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)

Section 7 – Health Insurance Program (HIP) Information

Item in 2008	2008 Item Name/Order		Item in 2005		2005 Item Name/Order		Description of change
78		Race and Ethnicity		78		Race/Ethnicity		Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)
81	EMA/TGA		81		EMA		Abbreviation for transitional grant area was added in the 2008 version for clarity and consistency with reauthorization language.
81	Annual HIP funding by Ryan White HIV/AIDS Program sources:		81		Annual funding for HIP by CARE Act funds:		Word changes for clarity and consistency with reauthorization language.
81	Total Part C funds		N/A		N/A		Ability for Part C to report HIP funding.
82	Annual HIP funding by other sources:		82		Annual funding for HIP by other sources:		Word changes for clarity and consistency with reauthorization language.

Page 8 of 8 12/3/2007