A Look Back Blog: Negotiating with Health Plans
A 2014 blog on how a Ryan White HIV clinic negotiated with a health plan, with lessons learned for agencies seeking coverage for the new treatment long-acting injectables.
Blog updated 03/25/2024
A 2014 blog on how a Ryan White HIV clinic negotiated with a health plan, with lessons learned for agencies seeking coverage for the new treatment long-acting injectables.
Blog updated 03/25/2024
TA/training to ASOs and CBOs most in need of critical assistance to make changes in health care delivery and financing.
RWHAP Technical Assistance Provider updated on 08/28/2023
Resource updated 11/20/2023
Health coverage is one of the data elements reported in the Ryan White HIV/AIDS Program Services Report (RSR). The RSR Instruction Manual provides detailed information about how and when to report health coverage.
This RSR in Focus provides guidance and examples on when to use the “Other Plan” response option to report health coverage.
Resource updated 03/19/2024
Resource updated 09/19/2023
CRE provided TA to enable RWHAP-funded core medical providers and grant recipients contract with Medicaid and qualified health plans.
RWHAP Technical Assistance Provider updated on 06/06/2023
Resource updated 02/22/2024
Trainings for Ryan White HIV/AIDS Program (RWHAP) recipients, subrecipients, and consultants regarding changes in the treatment of costs under the 10 percent administrative cap.
Resource updated 09/19/2023
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
Summary of changes that may affect your data management and reporting practices in relation to Policy Clarification Notice (PCN ) #16-02 on Ryan White HIV/AIDS Program (RWHAP) client eligibility and program guidance for allowable service categories.
Resource updated 04/18/2024
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
Federal agency that administers the Ryan White HIV/AIDS Program (RWHAP), which helps low-income people with HIV receive care.
Resource updated 12/22/2023
Review of how to access and navigate the contract information stored in the Grantee Contract Management System (GCMS).
Resource updated 09/14/2023
Tips for negotiating contracts with insurers.
Resource updated 02/04/2022
Tools to walk users through some common functions associated with preparing and submitting the RSR.
Resource updated 09/19/2023
Join the Data Integration, Systems, and Quality (DISQ) and Ryan White Data Support for upcoming webinars, or view recent archived webinars. Webinars are generally archived and available online within a week.
This resource explains how to access the Check Your XML feature in the RSR. This will allow users to check client-level data quality prior to submission.
Resource updated 09/19/2023
Example of a PrEP and PEP Navigation Services Report.
Resource updated 12/19/2023