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Ryan White Program

Development and maintenance of the Miami-Dade County Ryan White Program website has been paid for in whole with federal funds received under Part A of the Ryan White HIV/AIDS Treatment Extension Act of 2009 from the U.S. Health Resources and Services Administration.

The Ryan White Program was established in Miami-Dade County in 1991 to address the need for HIV/AIDS-related services among the economically disadvantaged and underserved residents of our community. The program is currently funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under Part A of the Ryan White HIV/AIDS Treatment Extension Act of 2009.

The Administrative Office of the Ryan White Program is located within the Office of Management and Budget, Grants Coordination Division, and is responsible for distributing these grant funds to HIV/AIDS service organizations, community-based clinics, hospitals, and public institutions located throughout the County. Ryan White Program services include:

  • Outpatient medical care
  • Prescription drugs
  • Oral health care
  • Substance abuse treatment
  • Mental health counseling
  • Medical case management
  • Prescription drug co-payments
  • Medical insurance deductibles
  • Support to AIDS Insurance Continuation Program (AICP)
  • Legal assistance
  • Food assistance
  • Transportation services

More than 9,600 persons living with HIV or AIDS are served through the County's Ryan White Program on an annual basis. The Ryan White Program must always be the payer of last resort.

Miami-Dade County receives additional funding under the Ryan White HIV/AIDS Treatment Extension Act to reduce disparities and improve health outcomes for eligible Adobe Reader HIV+ persons from racial/ethnic minorities. This funding is known as the Ryan White Minority AIDS Initiative (MAI) Program.

Note: All documents in the Ryan White Program website relate to both Part A and MAI funding, unless specifically noted otherwise.

 

Cost Based Reimbursement

The following procedures and requirements must be followed by contracted service providers in order to obtain reimbursement for services rendered under the Ryan White Part A Program.

1. To be eligible for reimbursement, all expenses must be in accordance with the contracted service provider's approved Ryan White Part A budget(s) and must be necessary for program operation. All services contained in the contract must be performed before the service provider requests payment from the County.
 
2. Reimbursement requests must be submitted in a timely manner in accordance with the provisions of the corresponding Ryan White Part A Professional Service Agreement. Failure to follow this requirement is considered noncompliance with the contract.

Food Assistance

Food assistance includes food bank. Providers must offer nutritional counseling to all food service clients through qualified staff supervised by a licensed dietitian or nutritionist.

View the complete definition in Section I of the Service Delivery Guidelines.

Funding Allocations

Ryan White Part A and Minority AIDS Initiative (MAI) funds are awarded to Miami-Dade County on an annual basis by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). The grant/budget period runs from March 1st through February 28th each year.

The most current funding allocations by Fiscal Year include the following:

Medical Case Management Standards

The Medical Case Management Standards of Service are applicable to all Ryan White Program funded medical case management service providers. These standards are an essential component of the Ryan White Quality Management Program and form the basis for on-going monitoring and evaluation of Ryan White Program-funded medical case management agencies.
 
Areas of evaluation include:

  • Staff qualifications
  • Training
  • Access to care
  • Eligibility and financial assessment
  • Initial client health assessment
  • Plan of care development and monitoring
  • Adherence to treatment regimen
  • Referrals and follow-up
  • Updates to client records
  • Standards for documentation
  • Quality assurance and  performance improvement
  • Compliance with requirements related to the Ryan White Program Service Delivery Information System (SDIS)
  • Permanency planning / Advance Directives
  • Case closure and case transfers
  • Program specific operating requirements.

View these Standards in Section III of the Service Delivery Guidelines. Adobe Reader

Monitoring & Evaluation

Performance Improvement

The Ryan White Program Performance Improvement Plan provides a systematic approach to quality assessment and performance improvement for the Miami-Dade County Ryan White Program. The plan concentrates on four key areas:

  • Improved access to and retention in care for HIV positive individuals
  • Quality of services and related outcomes
  • Linkage of social support services to medical services
  • Elimination of disparities in care

The complete Ryan White Program Performance Improvement Plan can be accessed below:

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Comprehensive Site Visit

Monitoring activities conducted by the Ryan White Program include on-site visits to contracted service providers. A comprehensive monitoring instrument is used to assess provider compliance with fiscal, programmatic, and administrative requirements.

Below is a copy of the comprehensive monitoring tool currently used for this purpose:

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Record Review Tools

Monitoring activities conducted by the Ryan White Program include on-site record reviews to assess service providers’ compliance with standards of care and specific requirements established for each service area, including outpatient medical care, medical case management, oral health care, outreach services, substance abuse treatment, etc.

Below are the record review tools currently used for this purpose:

 

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Oral Health Care Services

The Ryan White oral health care program offers a wide range of dental services to eligible persons who are living with HIV disease.

Services include:

  • Routine dental exams, prophylaxis, and dental cleanings
  • X-rays
  • Fillings
  • Replacements
  • Treatment of gum disease
  • Oral surgery

Only dental procedures included in the most current Ryan White Program Oral Health Care Formulary can be performed under this service category.
 
Additional information on the Ryan White Oral Health Care Program appears below.

Outcome Measures

Health and support services funded under the Ryan White Program are measured throughout the year to determine their effect on the health status and well-being of persons living with HIV disease.
 
As part of the Quality Management Program, client-level outcome measures have been established for several Ryan White Program-funded services. Additional outcome measures are currently being developed.
 
The following document provides information on the current Ryan White Program outcome measures:

Prescription Drug Services

Affordable Care ActA wide variety of HIV and non-HIV medications are available to eligible HIV+ individuals through Ryan White Program prescription drug services. Only medications included in the most current Ryan White Program Prescription Drug Formulary can be accessed through the Ryan White Program. 
 
The goal of this service is to prolong the lives of persons living with HIV by improving their health through access to life-sustaining medications. This service is available to individuals who are ineligible to receive medications under any other source, including but not limited to Medicare, Medicaid, the State AIDS Drug Assistance Program (ADAP), private insurance, etc.

Request to add or delete medication

 

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Affordable Care Act

Affordable Care Act

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Service Delivery Guidelines

Eligible low-income HIV+ persons residing in Miami-Dade County have access to health and support services provided by the Ryan White Program. These services include:

  • Outpatient medical care
  • Prescription drugs
  • Oral health care
  • Substance abuse treatment - residential and outpatient
  • Mental health counseling
  • Medical case management
  • Prescription drug co-payments
  • Medical insurance deductibles
  • Support to AIDS Insurance Continuation Program (AICP) / ADAP Premium Plus Insurance Program
  • Legal assistance
  • Food assistance
  • Transportation services

The following documents provide a detailed description of each service available under the Ryan White Program.

Service Delivery Guidelines FY 2014-2015

Service Provider Contact

Ryan White Program-funded service providers are located throughout Miami-Dade County. These agencies offer a myriad of health and support services to eligible individuals who are living with HIV disease. Referrals are accepted from other providers in the community.
 
The most current Ryan White Program Service Provider Contact List appears below:

Standards of Care

The Ryan White Program System-wide Standards of Care are an essential component of the Ryan White Quality Management Program. These standards form the basis for:

  • On-going monitoring and evaluation of Ryan White and MAI-funded service providers, particularly in the areas of access to care,
  • Staff qualifications and training
  • Quality and completeness of client records and other required documentation
  • Quality assurance and performance improvement
  • Program operation requirements
  • Adherence to confidentiality

View these Standards in Section III of the Service Delivery Guidelines.

If you cannot view PDF Get Acrobat! files, you can download Acrobat Reader  for free from Adobe Systems, Inc. In order to use PDF files, you must have Acrobat installed on your computer.

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grants

Contact Us

Office of Management and Budget
Grants Coordination/Ryan White Program
111 NW 1st Street, 19th Floor
Miami, Florida 33128
 
Phone
305-375-4742
 
Fax
305-375-4454

Email Us Email Us

 

 
 
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