Each year during the Ryan White Planning Council convenes workgroups to look at each of the currently funded services and their financial eligibility guidelines. Workgroups discuss making changes to the services in order to improve service delivery and better meet the needs of Ryan White consumers. All are invited to have a voice and participate in this process, which usually takes place in April.

Below are the services definitions and financial eligibility guidelines for services that are currently funded by the Houston Ryan White Program, and the current funding stream (Part A, Part B, State Services).

Service Definition

Approved

FY21 Financial Eligibility

Based on federal poverty guidelines

Ambulatory/Outpatient Medical Care (includes Medical Case Management, Service Linkage, Outreach, EFA, Local Pharmacy Assistance) CBO, Public Clinic, Rural & Pediatric

- Part A

300%,

(None, None, None, 500%, 400% non- HIV meds & 500% HIV meds)

Case Management (Clinical)

- Part A

No Financial Cap

Case Management (Non-Medical, Service Linkage at Testing Sites)

- Part A

No Financial Cap

Case Management (Non-Medical, targeting Substance Use Disorders)

- State Services

No Financial Cap

Early Intervention Services (Incarcerated)

- State Services

No Financial Cap

Emergency Financial Assistance - Other

- Part A

400%

Health Insurance Premium & Cost Sharing Assistance - Part B/State Services

Health Insurance Premium & Cost Sharing Assistance - Part A

0 - 400%

ACA plans: must
have a subsidy

(see Part B service definition for exception)

Home & Community-Based Health Services - Adult Day Treatment (facility-based)

- Part B

300%

Hospice Services

- State Services

300%

Linguistic Services

- State Services

300%

Medical Nutritional Therapy and Nutritional Supplements

- Part A

300%

Mental Health Services – State Services

400%

Oral Health

- Untargeted – Part B

- Rural (North) – Part A

300%

Referral for Health Care and Support Services-ADAP Enrollment Workers

- State Services Rebate

No Financial Cap

Substance Abuse Treatment (Outpatient)

- Part A

300%

Medical Transportation

- Part A

400%

Vision Care

- Part A

300%

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