Overview of RWHAP payment for clients’ health care coverage costs (insurance assistance).
The Part B AIDS Drug Assistance Program (ADAP) of HRSA's Ryan White HIV/AIDS Program (RWHAP) provides HIV/AIDS medications and access to insurance coverage to those who lack insurance and resources. Each State and Territory operates an ADAP program and is responsible for managing the purchase and distribution of medications. Each ADAP determines the medications to offer on their formulary (list of covered drugs). However, all formularies must meet a baseline standard, which is to cover all core classes of antiretroviral therapies. Clinical and income eligibility requirements vary across States/Territories as each ADAP sets its own criteria. HRSA project officers and technical assistance and training partners provide support to RWHAP recipients.
- For ADAP data reporting, see the ADAP Data Report (ADR) Topic page.
- Use the Ryan White Community Map or Program Locator to reach a RWHAP recipient. Alternatively, see the ADAP Directory (ADAP Advocacy Association and NASTAD's listing of ADAP Coordinators.
Resources 35
Guidelines and Manuals
- HRSA HIV/AIDS Bureau (HAB)
- RWHAP Data SupportInstruction manual on how all Ryan White HIV/AIDS Program Part B Supplemental recipients can access, complete, and submit the Part B Supplemental Program Terms Report/Allocations and Expenditure Reports.
- HRSA HIV/AIDS Bureau (HAB)
Resources to assist Ryan White HIV/AIDS Program (RWHAP) recipients in administering their grants.
- HRSA HIV/AIDS Bureau (HAB)
Series of manuals for Parts (programs) under HRSA's Ryan White HIV/AIDS Program (RWHAP).
- HRSA HIV/AIDS Bureau (HAB)
Performance measures to help Ryan White HIV/AIDS Program agencies monitor and improve the quality of care they deliver.
- NASTAD
Template for states to use creating their own policy and procedural manuals and succession plans so that incoming Part B/ADAP staff are well-equipped to take on responsibilities.
Webinars and Training
- HRSA HIV/AIDS Bureau (HAB)
Pre-application webinars for Notice of Funding Opportunity (NOFO) announcements from HRSA's HIV/AIDS Bureau for the Ryan White HIV/AIDS Program (RWHAP).
- NMAC
The goal of this webinar is to gain an understanding of clinical quality management, and how it can improve the health of those engaged in care within the HIV system of care.
By the end of the webinar, participants will be able to:
- HRSA HIV/AIDS Bureau (HAB)Overview of the annual Federal Financial Report (FFR) to include the Ryan White HIV/AIDS Program (RWHAP) Part B penalties
- HRSA HIV/AIDS Bureau (HAB)
Webinars and other special events by HRSA's HIV/AIDS Bureau.
- NMAC
The first part of our three part series will focus on Supporting People With HIV to Participate in the HIV Workforce and Planning Council/Planning Body Activities. We will start our series off with a community focused session on HIV.
- HRSA HIV/AIDS Bureau (HAB)
Webinars on HRSA HIV/AIDS Bureau (HAB) policy notices and program letters for Ryan White HIV/AIDS Program recipients.
- NASTAD
Review of strategies to support Ryan White core medical and support service access/delivery within and/or in combination with local syringe services programs (SSPs).
- NASTAD
Insights on supporting access to substance use treatment medications and related services for clients served by Ryan White Part B and AIDS Drug Assistance Programs (ADAPs).
- National Center for Innovation in HIV Care
Review of the organizational benefits of developing pharmacy services, the different models of pharmacy that can be utilized at different organizations, and steps required to develop these services.
Tools and Job Aids
- NASTAD
Review of the basics of trauma and modules on trauma-informed approaches in the delivery of HIV care.
- NASTAD
Guide to help ADAPs prepare for and manage emergencies in order to ensure continued access to HIV medications.
- HRSA HIV/AIDS Bureau (HAB), NASTAD
Application and companion document on how to apply for many (but not all) pharmaceutical assistance program (PAP) offered by pharmaceutical companies.
- NASTAD
Planning and implementation steps when using a Pharmacy Benefit Manager (PBM) to administer an AIDS Drug Assistance Program (ADAP).
- NASTAD
Insights to ADAP procedures for seeking rebates when a prescription is filled by another 340B entity pharmacy.
- HRSA HIV/AIDS Bureau (HAB)
Suggested format for ADAP work plans.
- Cleveland/Lorain/Elyria TGA
Tools developed by a Part A program to monitor programs and services.
Reports and Best Practices
- NASTADReview of the basic elements of the Medicare program and information to support RWHAP Part B/ADAP staff in adapting program activities to better coordinate with Medicare coverage, including providing premium and cost-sharing assistance for clients.
- NASTAD
Fact sheet on strategies for RWHAP Part B and ADAPs regarding the provision of services to justice-involved people with HIV.
- NASTADTips for RWHAP AIDS Drug Assistance Programs in supporting access to mental health medications and related services.
- NASTAD
Review of how RWHAP Part B and ADAPs can support access to medications and related services for the clients they serve who are aging and who experience associated co-morbidities (e.g., cardiovascular disease, diabetes).
- NASTADStrategies for RWHAP Part B and ADAP recipients to optimize the use of ADAP rebate funds in order to improve the overall effectiveness and reach of HIV services.
- NASTAD
Ideas for RWHAP Part B/ADAPs to support access to medications and tailor related services for Black/African American men living with HIV.
- NASTAD
Fact sheet to explain policies and procedures for ADAPs to follow to ensure that Ryan White funds are used as the payer of last resort, including for Medicaid.
- HRSA HIV/AIDS Bureau (HAB)
Consultation meeting regarding strategies to increase hepatitis C (HCV) treatment within ADAPs.
- NASTAD
Document highlights programming options for ADAPs to better serve transgender communities.
- NASTAD
Tools to assist ADAPs with benefits management activities to help clients obtain and maintain access to private and public insurance.
Websites
- HRSA HIV/AIDS Bureau (HAB)
Federal agency that administers the Ryan White HIV/AIDS Program (RWHAP), which helps low-income people with HIV receive care.
- NASTADToolkit for HRSA RWHAP Part B and ADAP recipients to guide design of systems and processes for eligibility determination and recertification.
- HRSA Office of Pharmacy Affairs (OPA)
Information on HRSA's Office of Pharmacy Affairs, which administers the 340b program, which provides drug discounts to certain federal grantees,
Conference Presentations
California Department of Public Health
Presenters:
Genevieve Kray, Ann Nakamura, Kelly Wu
2022 National Ryan White Conference on HIV Care & Treatment
NASTAD
Presenters:
Tim Horn, Andrea Weddle, Marwan Haddad, Mitchell Namias, Kara Lewis
2022 National Ryan White Conference on HIV Care & Treatment
Northeast-Caribbean AETC
Presenters:
Mari Millery, Daria Boccher-Lattimore
2020 National Ryan White Conference on HIV Care & Treatment
Massachusetts Department of Public Health
Presenters:
Dennis Canty, Randie Kutzen, Alyssa Harrington
2020 National Ryan White Conference on HIV Care & Treatment
Southwest Viral Med
Presenters:
Noemi Cortez Calderon
2020 National Ryan White Conference on HIV Care & Treatment