Preparing for Open Enrollment, Part I: Strategies and Resources for New Program Staff
Resource updated 06/13/2023
Resource updated 06/13/2023
Resource updated 10/09/2023
Resource updated 06/13/2023
Review of a value-based payment system for medical case management.
Resource (Conference Presentation) updated 09/14/2023
Description of how the agency standardized the complicated charge capture of telemedicine visits, from scheduling to billing to payment, in a rapidly evolving environment.
Resource (Conference Presentation) updated 09/14/2023
Update on federal and state healthcare and health coverage policies impacting RWHAP agencies.
Resource (Conference Presentation) updated 09/14/2023
Resource updated 09/19/2023
Resource updated 10/23/2023
Resource updated 11/08/2023
Resource updated 10/30/2023
Form for clients explaining the maximum annual amount of costs they will incur for RWHAP services they receive.
Resource updated 09/19/2023
Resource updated 05/29/2024
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.
Resource updated 03/05/2024
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
Resource updated 10/05/2023
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
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
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
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
Tips for negotiating contracts with insurers.
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