Expanding Contracting Beyond Medicaid Fee for Service
Review of contracting opportunities (e.g., marketing when negotiating contracts) for Ryan White funded agencies that provide medical care and other services.
Resource updated 02/04/2022
Review of contracting opportunities (e.g., marketing when negotiating contracts) for Ryan White funded agencies that provide medical care and other services.
Resource updated 02/04/2022
Insights to ADAP procedures for seeking rebates when a prescription is filled by another 340B entity pharmacy.
Resource updated 03/05/2024
Review of how agencies can market their services to health insurers. Covers the basics of marketing, how to develop a marketing plan, getting a first meeting with insurers, and how to make a compelling pitch.
Resource updated 03/05/2024
Tool for conducting a cost analysis (determining the unit/average cost of a service) for purposes of billing and securing reimbursement for services provided.
Resource updated 03/05/2024
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).
Resource updated 06/11/2020
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.
Resource updated 09/14/2023
Document highlights programming options for ADAPs to better serve transgender communities.
Resource updated 09/14/2023
Tools to assist ADAPs with benefits management activities to help clients obtain and maintain access to private and public insurance.
Resource updated 09/14/2023
Steps agencies can take to bill for services that enhance their financial sustainability.
Resource updated 10/05/2023
Tips for negotiating contracts with insurers.
Resource updated 02/04/2022
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.
Resource updated 03/05/2024
Insights from Ryan White HIV/AIDS Program agencies implementing clinical quality management.
Blog updated 01/07/2021
Review of how trauma-informed care services were implemented in a medical clinic and community organization, health department implementation actions, and client perspectives on these services.
Resource updated 11/07/2023
Ideas for overcoming barriers to developing sound clinical quality management programs (e.g., unfamiliarity with quality improvement concepts, lack of staff).
Resource updated 09/19/2023
Guide to help RWHAP agencies in a particular region/state collaborate on quality management efforts via a learning collaborative.
Resource updated 09/19/2023
Curriculum with interactive exercises to train HIV providers to support patients as they advocate for their clinical care, enabling them to play a pivotal role in their care.
Resource updated 03/12/2024
Tool to help RWHAP recipients develop robust partnerships with recipients and their subcontractors in order to meet funding requirements for clinical quality management.
Resource updated 09/19/2023
Ways RWHAP Part B programs and ADAPs can enhance clinical quality management activities.
Resource updated 09/14/2023
Review of how RWHAP Part B programs develop, maintain, and evaluate service standards for all funded services, per Policy Clarification Notice (PCN) 16-02.
Resource updated 09/14/2023
Ideas for RWHAP Part B/ADAPs to support access to medications and tailor related services for Black/African American men living with HIV.
Resource updated 09/30/2022