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RWHAP Eligibility Toolkit
Toolkit for HRSA RWHAP Part B and ADAP recipients to guide design of systems and processes for eligibility determination and recertification.Resource updated 09/20/2023
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HRSA Revises RWHAP Policy Notice on Eligibility Determinations
In October 2021, HRSA's HIV/AIDS Bureau revised its client eligibility and recertification policy for the Ryan White HIV/AIDS Program.
News Article updated on 11/02/2021 -
Listening Session on Policy Clarification Notice 16-02 Ryan White HIV/AIDS Program Services: Eligible Individuals and Allowable Uses of Funds
Listening Session on how Policy Clarification Notice 16-02 and how the HRSA HAB RWHAP service categories and allowable uses of funds can be refreshed to best reflect new and emerging needs, science, and service delivery models.
Resource (Conference Presentation) updated 09/14/2023
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Funding Opportunity: Linking Eligibility Across the RWHAP Program Parts, Dissemination Assistance Provider (HRSA-24-057)
This HRSA HIV/AIDS Bureau pre-application webinar is for the Notice of Funding Opportunity (NOFO) (HRSA-24-057)Resource updated 02/16/2024
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Dual Eligibility and Enrollment of Ryan White HIV/AIDS Program Clients: Microlearning Module
Learn what Medicaid/Medicare dual eligibility is, types of dual eligibility, the basic pathways by which a person becomes dually eligible, how to enroll dually eligible clients, and the role of the RWHAP Part B ADAP.Resource updated 10/30/2023
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Medicare, Medicaid, and Dual Eligibility Webinar Series
Webinar series covering Medicare, Medicaid, and Medicare-Medicaid dual eligibility for Ryan White HIV/AIDS Program (RWHAP) clients.Resource updated 09/14/2023
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Medicare Enrollment and Coverage for Ryan White HIV/AIDS Program (RWHAP) Clients
Best practices for providing Medicare enrollment support.Resource updated 03/11/2024
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Applying technological innovation: Harnessing an electronic patient portal to achieve a patient-centered approach to recertification
Using a multidisciplinary approach to harness the electronic patient portal for completion of RWHAP six-month recertification documents, we were able to create a more patient-centered method that complies with program requirements. We will discuss the challenges, opportunities, and results of using such technology in program recertification.
Resource (Conference Presentation) updated 09/14/2023
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Promising Practices: The Impact of COVID-19 Related Policy Changes On Enrollment Capacity Within California's ADAP
California’s AIDS Drug Assistance Program (ADAP) and Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) provide access to life-saving medications and insurance assistance for eligible California residents living with or at risk of acquiring HIV. This presentation will explore the efficacy of various program policy changes implemented by California during the COVID-19 pandemic.
Resource (Conference Presentation) updated 09/14/2023
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Program and Service Monitoring Tools - Indianapolis TGA, MCHD
Tools used for quality and program monitoring by a Part A program.
Resource updated 09/19/2023
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Client Eligibility Forms (AGI Worksheet, Checklist)
Tool for service and program monitoring.
Resource updated 09/19/2023
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Pharmaceutical Company Patient Assistance Programs and Cost-Sharing Assistance Programs
CPAPA is no longer being updated by NASTAD and has been replaced by Pharmaceutical Company Patient Assistance Programs and Cost-Sharing Assistance Programs.
Resource updated 10/31/2023
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CRE TA Center
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
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Eight Essential Actions for Expanding and Implementing Contracting with Medicaid and Marketplace Insurance Plans
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.
Resource updated 03/05/2024
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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
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Cost Analysis Basics: A Resource Developed for Ryan White HIV/AIDS Program Core Medical Providers
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
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Organizational Self-Assessment Tool Identifying Opportunities to Expand Contracting and Reimbursement from Insurance Plans
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
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Expanding Contracting Beyond Medicaid Fee for Service
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
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Tips for Negotiating Contracts with Medicaid and Marketplace Insurance Plans
Tips for negotiating contracts with insurers.
Resource updated 02/04/2022