Pharmacy Benefits Manager Toolkit
Planning and implementation steps when using a Pharmacy Benefit Manager (PBM) to administer an AIDS Drug Assistance Program (ADAP).
Resource updated 09/19/2023
Planning and implementation steps when using a Pharmacy Benefit Manager (PBM) to administer an AIDS Drug Assistance Program (ADAP).
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
Pre-application webinars for Notice of Funding Opportunity (NOFO) announcements from HRSA's HIV/AIDS Bureau for the Ryan White HIV/AIDS Program (RWHAP).
Resource updated 03/07/2024
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
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
Cross-post of a guest editorial by Dr. Laura Cheever, HRSA Associate Administrator for HIV/AIDS, from Leading with Race, NMAC.
Blog updated 01/07/2021
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
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
Tips for negotiating contracts with insurers.
Resource updated 02/04/2022
Manual on the GCMS data-storage system for RWHAP recipients to manage agency RWHAP contracts.
Resource updated 09/19/2023
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
HHS has supported development of a toolkit on state Medicaid and health department coordination to improve HIV care delivery.
Blog updated 12/28/2022
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
Series of tools to assist agencies as they undertake transformation to status as a Patient-Centered Medical Home (PCMH).
Resource updated 09/19/2023
Resource updated 08/28/2023
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