ADAP and Medicaid Back-Billing
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
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
Steps agencies can take to bill for services that enhance their financial sustainability.
Resource updated 10/05/2023
The Imposition of Charges requirement is a term used to describe all activities, policies, and procedures related to assessing RWHAP patient charges, as outlined in the Ryan White legislation.
Resource updated 03/19/2024
Curriculum to help planning councils/planning bodies conduct orientation and ongoing training to prepare members to participate fully in RWHAP Part A planning and decision making. Modules nclude trainer notes, presentation slides, experiential activities and quick reference handouts.
Module in Training Guide: A Member’s First Planning Cycle to understand needs assessment and how the process is carried out.
Review of the needs assessment process that RWHAP Part A planning councils/planning bodies conduct annually, with a case study on consumer leadership of the needs assessment process.
Resource updated 01/05/2024
Resource updated 05/29/2024
Orientation guide for Part B Program Directors, staff and others.
Resource updated 11/02/2023
Form for clients explaining the maximum annual amount of costs they will incur for RWHAP services they receive.
Resource updated 09/19/2023
Guidance on development of HIV/AIDS epidemiological profiles for use in planning/evaluation activities of both prevention and care programs.
Resource updated 12/04/2023
Workbooks for RWHAP planning bodies and other entities to self-assess their effectiveness.
Resource updated 09/19/2023
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
Insights to ADAP procedures for seeking rebates when a prescription is filled by another 340B entity pharmacy.
Resource updated 03/05/2024
Resource updated 12/04/2023