Designated AIDS Centers (DACs)
The NYSDOH AIDS Institute established the Designated AIDS Center model about 20 years ago. It essentially provided enhanced reimbursement for outpatient HIV Primary and per diem rates for inpatient care. Hospitals contracted with the State to receive these rates and were required to meet staffing levels and quality standards for the multidisciplinary care of those living with HIV and AIDS. While predominately a Medicaid model, many DACs provide services for the uninsured population through ADAP and are also contracting with HIV Special Needs Plans. Outpatient reimbursement for DACs will change in December 2008 when the State converts to a new payment methodology called Ambulatory Patient Groups (APGs).
There are currently 44 DACs operating in New York State. You can see a list here.