Expenditure Forecasting
For AIDS Drug Assistance Program (ADAP)

Virginia Department of Health

implemented this best practice in October 1997

Qualifying under the Best Practices catalogue:
3 Provide Capabilities
33 Provide administrative support services
331 Information for decision-making

Best Practice Summary
(how it works, how you measure it)

Under contract with the Division of HIV/STD, Virginia Commonwealth University manages and analyzes data for the AIDS Drug Assistance Program (ADAP). On a quarterly basis, utilization of each HIV medication is analyzed on computer software that projects expected yearly demand. Overall client growth rate is included in the calculation to determine a projected grant year financial need. Cost of the drug is factored into the equation; a sharp increase or decrease in price will impact the projection. Projections are compared with actual utilization and have proven to be very accurate.

Impact on the Process Organizational Performance (OUTCOMES)

The projections are presented to the ADAP Advisory Committee on a quarterly basis and are used in making program decisions regarding the medication formulary or eligibility criteria.

Best Practice Qualification

In working with other states, all of which manage similar ADAP programs, the Virginia Department of Health realized that most do not utilize a scientific process like this one to make ADAP program decisions.

For Additional Information

Division of HIV/STD
Virginia Department of Health
P. O. Box 2448, Room 112
Richmond, VA 23218

Anne Elam
(804) 371-8294
eelam@vdh.state.va.us

Casey W. Riley
(804) 786-6267
criley@vdh.state.va.us

Search the Best Practices Database

While the individual best practices are shown under the Best Practices Repository, you may also query the repository by keying in a word or phrase below. The repository will then be searched for your phrase. If it is not found, you are invited to e-mail the Commonwealth Competition Council with the topic you are interested in, and an attempt will be made to contact one of the Virginia state government agencies responsible for that issue.