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- Medicare
These tools and resources are intended to provide RWHAP managers, staff, and enrollment assisters with an overview of Medicare eligibility and coverage, including prescription drugs, for RWHAP clients and people with HIV.
- Data & Reporting
Ryan White HIV/AIDS Program (RWHAP) recipients and sub-recipients (funded by Parts A through D) collect and report client-level data. These data are used to monitor the effectiveness of RWHAP services and progress toward national HIV/AIDS goals, including addressing disparities among communities of color.
Technical assistance is available to recipients to help them to collect and report data appropriately.
- Sign up to receive e-mail updates.
- Visit the Data Forums to share experiences and learn from peers.
- Newbies: See Roadmap: New to the RSR.
- Ryan White Services Report (RSR)
The Ryan White HIV/AIDS Program Services Report (RSR) is the HRSA HIV/AIDS Bureau's client-level data reporting system. All (Parts A through F) funded recipients (grantees) and sub-recipients (providers) must submit an RSR data report each year via the online system.
Are you new to the RSR? Review the RSR Roadmap to get up to speed and access the RSR timeline.
- ADAP Data Report (ADR)
The ADAP Data Report (ADR) is an annual reporting requirement for AIDS Drug Assistance Programs (ADAPs) to provide client-level data on individuals served, services being delivered, and costs associated with these services. Data are used to monitor client health outcomes, monitor ADAP activities in relation to HIV needs across the U.S. and track progress in relation to national HIV/AIDS goals. The ADR's two components are the: Grantee Report (basic information about recipient characteristics and policies) and Client Report (or client-level data).
- See the HRSA HAB Website for additional information, including the latest RWHAP data reports and slide decks.
- See the ADR submission timeline.
- Ryan White HIV/AIDS Program & Parts
The nation's HIV/AIDS care needs vary across geographic regions, populations, and services. HRSA's Ryan White HIV/AIDS Program (RWHAP) is a federal program that funds agencies to deliver HIV care.
The RWHAP is comprised of multiple programs (called Parts) to meet these diverse needs. While the Parts vary in their focus, each follows a common the set of HRSA HIV/AIDS Bureau standards that are designed to focus all Ryan White programs on effective and efficient delivery of HIV/AIDS care. These drivers include HIV/AIDS care guidelines and clinical protocols; program planning and implementation requirements; quality/performance measures; data reporting systems; technical assistance and training services; and grants management and monitoring processes.
- RWHAP programs can contact HRSA project officers and technical assistance and training partners for support.
- Use the RWHAP Program Locator (map and drop-down menu by state) to find a RWHAP contact. This includes RWHAP funded agencies (recipients) that deliver HIV care and support services, Part A Planning Councils, and Ending the HIV Epidemic contacts.
- Oral Health Care
Oral health care includes diagnostic, preventive, and therapeutic services provided by a dental health care professional licensed to provide health care in the State or jurisdiction, including general dental practitioners, dental specialists, and dental hygienists, as well as licensed and trained and dental assistants. The Ryan White HIV/AIDS Program supports oral health services through all program parts as well as the Part F Dental Reimbursement Program (DRP) and Community-Based Dental Partnership Program (CBDPP). See the Program Locator for details.
- Substance Use & Addiction
Under Ryan White HIV/AIDS Program funding, substance abuse services (outpatient) are medical or other treatment and/or counseling to address substance abuse problems (i.e., alcohol and/or legal and illegal drugs) in an outpatient setting by a physician or under the supervision of a physician, or by other qualified personnel.
- Mental & Behavioral Health
Mental health services are psychological and psychiatric treatment and counseling services for individuals with a diagnosed mental illness. They are conducted in a group or individual setting, and provided by a mental health professional licensed or authorized within the State to render such services. Such professionals typically include psychiatrists, psychologists, and licensed clinical social workers.
- Outpatient Medical Care
Outpatient/ambulatory medical care (OAMC) includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician‘s assistant, clinical nurse specialist, nurse practitioner, or other health care professional who is certified in his or her jurisdiction to prescribe antiretroviral (ARV) therapy in an outpatient setting. These settings include clinics, medical offices, and mobile vans where clients generally do not stay overnight. Emergency room services are not considered outpatient settings.
Services include diagnostic testing, early intervention and risk assessment, preventive care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, education and counseling on health issues, well-baby care, continuing care and management of chronic conditions, and referral to and provision of specialty care (includes all medical subspecialties). Primary medical care for the treatment of HIV infection includes the provision of care that is consistent with the PHS‘s guidelines. Such care must include access to ARV and other drug therapies, including prophylaxis and treatment of opportunistic infections and combination ARV therapies.
Early Intervention Services provided by Ryan White Parts C and D programs are reported under outpatient/ambulatory medical care.
- Antiretroviral Treatment
Antiretroviral treatment that results in full viral load suppression is clinically beneficial (making it possible to manage HIV as a chronic condition) and significantly reduces the risk of HIV transmission. Federal expert panels now recommend early treatment for anyone living with HIV, and though there are relatively simple regimens available, patients must adhere to them for a lifetime. Monitoring and managing treatment success is a complex task for clinicians. Finally, despite the many advances in recent years, there is still much that is not understood about the long term impact of HIV and HIV medications.
- Hepatitis
Liver disease that is tied to Hepatitis C (HCV) infection is a leading cause of death among HIV-infected individuals. Hepatitis B is also a major challenge for many people with HIV. Ryan White-funded clinics are taking on a greater role in not only managing HCV disease but also providing HCV treatments.
- Case Management
Case management is a service category with varied models and definitions that is designed to link clients to medical and support services. Ryan White defines medical case management (including treatment adherence) as a range of client-centered services that link clients with health care, psychosocial, and other services provided by trained professionals, including both medically credentialed and other health care staff. Medical case management is considered to be a core medical service for purposes of Ryan White funding requirements to allocate a set percentage of funds to core medical services.
- CAREWare
This free, HRSA-supported software can be used to manage HIV/AIDS care service data and submit the RSR. In addition to tools on this page, access the CAREWare webpage on the HRSA HAB website for software downloads, version updates, quick start manuals, medication imports.
Need help ugrading to CAREWare 6? Submit a TA request.
- Retaining in Care
Engagement in HIV/AIDS care falls along a continuum, from not being in care at all to being fully engaged, with interim points that reflect inconsistent and non-engagement in care. Varied interventions can enhance care engagement, including peer support, motivational interviewing, and case management. HRSA HAB through the SPNS program and other initiatives identify and evaluate innovative retention approaches, and produce replication materials for those showing the most promise. Many of these interventions focus on populations at most need, including youth, transgender women, and women and MSM of color.
- People with HIV & Community Involvement
A core value of the Ryan White HIV/AIDS Program is engagement of people with HIV in their care and in their community's work to address the epidemic. This might include:
- Serving as members and leaders of planning bodies. See also our Planning resources.
- Participating in community advisory boards to provide feedback to clinics on services and their design.
- Serving as peer workers to other persons with HIV to engage and retain them in care. See our Peer Programs resources.
- Serving as volunteers and paid staff members in HIV agencies.
Need help finding HIV services? Go to our People with HIV and Community page
- Planning
Planning under the Ryan White HIV/AIDS Program (RWHAP) is a multi-step process of information gathering to determine needs and subsequent decision making to devote resources to the highest needs.
- Metropolitan-wide planning (RWHAP Part A) and state level planning (RWHAP Part B) is comprehensive by design as planning takes into consideration a wide geographic area, various populations and varied services. Part A and B planning entails a sequence of tasks to first assess needs, then examine assessment data and make decisions including what services to fund, and coordination of planning with other RWAHAP Parts and other payers.
- Planning undertaken by clinics and other service agencies under other RWHAP Parts involves examination of epidemiologic and service delivery data to identify needs in the service delivery area. This type of planning is then used to guide decisions about how to deliver services.
- RWHAP Planning Council and Planning Body directory
- Peer Programs
Peers in HIV care are specially-trained individuals who serve on the health care team to provide patients with information, support, and assistance in navigating services. HIV peers are often living with HIV, but not always. Their qualifications and roles rest on their connection with the community they serve. Peer programs serve to recruit, train, and support peers so that they can carry out their duties.
- Collecting data
What you need to collect for the RSR
- Client-level data elements
- Grantee and Provider Reports
- Getting data from other systems
- Reporting Data
Managing and submitting the RSR:
- Manuals
- Reporting by Part
- Managing the RSR deliverable
- Funded Scope requirement
- Data Quality
High quality Ryan White Services Report (RSR) data are essential for demonstrating the impact of your important work.
These resources will help Ryan White grantees and providers define, measure, and improve their data quality.