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Case Management & Support

Case Management & Support

Medical Case Management

“Medical Case management services are a range of client­ centered services that link clients with health care, psychosocial, and other services. The coordination and follow-­up of medical treatments is a component of medical case management. These services ensure timely and coordinated access to medically appropriate levels of health and support services and continuity of care, through ongoing assessment of the client’s and other key family members’ needs and personal support systems.

“Medical case management includes the provision of treatment adherence counseling to ensure readiness for, and adherence to, complex HIV/AIDS treatments. Key activities include:

  1. initial assessment of service needs;
  2. development of a comprehensive, individualized service plan;
  3. coordination of services required to implement the plan;
  4. client monitoring to assess the efficacy of the plan; and
  5. periodic re­evaluation and adaptation of the plan as necessary over the life of the client.

It includes client­-specific advocacy and/or review of utilization of services. This includes all types of case management including face-­to­-face, phone contact, and any other forms of communication.” —Virginia Department of Health


Comprehensive assessments to assist with the development of individualized service plans and access to services based on needs presented.

  • Criteria for Ryan White funded Medical Case Management includes proof of HIV/AIDS diagnoses and financial eligibility; this eligibility will be determined at time of screening. Please call for an appointment.
  • Items to bring to the scheduled Intake:
    • form of picture ID
    • Social Security card if available
    • proof of income (W-2, most recent check stubs, bank statement, unemployment verification, etc.)
    • proof of diagnoses (Western Blot, most recent CD4/Viral Load)
    • proof of insurance (if applicable)
    • proof of residency within the service areas (e.g., driver’s license, utility bill, mail with current address on it)


Referrals by Case Managers are made to other community organizations and providers for lab work, physician visits, mental health issues, food banks, etc., based on individualized needs.

Financial Services

financial-assistance-money-helpBased on availability of funding and eligibility, ARE may be able to assist with payment of various services provided to the client such as lab work, physician visits, dental care, mental health visits, medication access, nutritional support and medical transportation.

Medication Assistance


Photo Credit: Lauren Fleming Photography

If a consumer is without insurance coverage, Medical Case Managers will help consumers apply to be placed on the AIDS Drug Assistance Program (ADAP) through the Virginia Department of Health.

We also have Certified Applications Counselors on staff that can assist clients living with HIV in obtaining insurance coverage (at no cost to the client) through the Affordable Care Act.

For those consumers who do have insurance coverage (private insurance, employer insurance, Medicare, COBRA) but need assistance with co-payments may access drug assistance programs through the Virginia Department of Health as well. Call your Medical Case Manager for more information and assistance.

Transportation Services


Confidential transportation in a comfortable environment.

Our client transportation service is designed for confidential client transportation in a relaxed, comfortable atmosphere. We cover the Lord Fairfax Health District (Clarke, Frederick, Page, Shenandoah, and Warren Counties and the City of Winchester). The service is provided to eligible, low-income persons who need assistance reaching their medical-related appointments only, including primary care, dental, labs, pharmacy, mental health, and ARE Medical Case Management appointments.

The transportation coordinator works closely with the case managers to ensure that we cover your transportation needs. Scheduling requests will determine whether the client will receive a gas card, bus tokens, taxi ride, or a ride in our agency vehicle. We are delighted to be able to assist you in meeting your appointment needs.

Non-Medical Case Management

Our Non-Medical Case Management team provides discharge planning services to HIV positive inmates during the last 90 days of their sentence. The goal of the Non-Medical Case Management program is to assist inmates in obtaining stability in their lives after they are released, and to reduce the rate of recidivism. It costs the community more money to support an incarcerated individual, then for the individual to live effectively post release and give back to their community by obtaining employment and stable housing, getting set up with a medical provider and attending medical appointments as needed, having access to supportive services, and benefits programs.

Our Non-Medical Case Management team provides Health Education/Risk Reduction (HERR) counseling during the discharge planning process. During the HERR session topics discussed are HIV transmission, and ways to reduce the risk of HIV transmission and other STI’s. The HERR session also includes identifying the individuals risk for HIV transmission, and discusses behavior changes that help decrease the risk of HIV transmission and develop a healthy HIV status.

Support Groups

ARE currently has an active Wellness & Support Group, facilitated by our Licensed Clinical Social Worker. The wellness groups and support groups meet alternately every Thursday from 12 noon-1:00pm at the ARE offices.

Groups include both wellness and mental health support, relaxation techniques and practices. Research shows physical, mental, and even spiritual benefits to wellness practices. Regular proactive relaxation re-sets the nervous system from “flight or fight” to “rest and digest”, allowing healing to happen naturally.

Not comfortable in a “group” setting? We offer individual sessions by appointment.

Transportation assistance is available for the groups, upon request.

Please call 540-536-5293 for more information about joining the Support Groups.


Photo Credit: Lauren Fleming Photography


Photo Credit: Lauren Fleming Photography