HIV Medical and Support Service Categories
Updated HIV Medical and Support Service Categories Standards of Care – Public Comment
The service categories below are fundable though Ryan White HIV/AIDS Program (RWHAP) Part B grant, DSHS State Services, and HOPWA formula funds awarded to the State only. Listed service categories may not fully reflect services fundable through other RWHAP Parts, direct HOPWA, or other funding sources. Certain services listed in Section 2 and all services listed in Section 3 are fundable only through DSHS State Service funds.
The service categories are subject to revision as new information, requirements, and/or guidance is received from the Health Resources and Services Administration (HRSA), U.S. Public Health Service (USPHS), the State of Texas, and/or DSHS.
Section 1. Core Medical Services
Section 2. Support Services
Section 3. Support Services (State Services Funds Only)
Section 4. Health Insurance Program (HIP)
Section 5. HOPWA
Section 6. Minority AIDS Initiative (MAI)
Section 7. Universal Standards – Monitoring Tools – Templates
Section 8. DSHS Guidance on Telemedicine, Teledentistry, and Telehealth
Section 9. Corrective Action Plan (CAP) Templates and Resources
Contact your local Administrative Agency or your DSHS Services Consultant with questions.
Section 1. Core Medical Services
| Service Category | Revised |
|---|---|
| Early Intervention Services (Part B) | 12/30/2021 |
| Health Insurance Premium and Cost Sharing Assistance | 12/30/2021 |
| Home and Community-Based Health Services | 12/30/2021 |
| Home Health Care | 12/30/2021 |
| Hospice Services | 12/30/2021 |
| Local AIDS Pharmaceutical Assistance (LPAP) | 12/30/2021 |
| Medical Case Management (including Treatment Adherence Services) | 12/30/2021 |
| Medical Nutritional Therapy | 12/30/2021 |
| Mental Health Services | 12/30/2021 |
| Oral Health Services | 12/30/2021 |
| Outpatient/Ambulatory Health Services | 12/30/2021 |
| Substance Abuse Outpatient Care | 12/30/2021 |
Section 2. Support Services
Some services listed here may not be funded with Ryan White Part B funds.
| Service Category | Revised |
|---|---|
| Child Care Services | 12/30/2021 |
| Emergency Financial Assistance (EFA) | 12/30/2021 |
| Food Bank / Home-Delivered Meals | 12/30/2021 |
| Health Education / Risk Reduction (HE/RR) | 12/30/2021 |
| Housing Services | 12/30/2021 |
| Linguistic Services | 12/30/2021 |
| Medical Transportation Services | 12/30/2021 |
| Non-Medical Case Management | 12/30/2021 |
| Other Professional Services | 12/30/2021 |
| Outreach Services | 12/30/2021 |
| Psychosocial Support Services | 12/30/2021 |
| Referral For Health Care and Support Services | 12/30/2021 |
| Rehabilitation Services | 12/30/2021 |
| Respite Care | 12/30/2021 |
| Substance Abuse Services (Residential) | 12/30/2021 |
Section 3. Support Services (State Services Funds Only)
These services may not be funded with Ryan White Part B funds.
| Service Category | Revised |
|---|---|
| Other Services Activities not associated with current HRSA Service Categories to be provided under this service category. Activities must be approved by DSHS prior to allocating State Service funds. |
N/A |
Section 4. Health Insurance Programs (HIP)
Health insurance payments made with Ryan White CARE Act funds should be reported under the CARE/HIPP; health insurance payments made with State Services funds should be reported under the State Services - Insurance.
| Service Category | CARE/HIPP & State Services Insurance | Service Units |
|---|---|---|
| Outpatient / Ambulatory Medical Care - Revised 3/31/2017 Co-payments for Outpatient / Ambulatory Medical Care Services when a client has private insurance. |
Ambulatory/Outpatient Medical Care | Per payment |
| Dermatology | Per payment | |
| Infectious Disease | Per payment | |
| Neurology | Per payment | |
| Ob/Gyn | Per payment | |
| Oncology | Per payment | |
| Opthamaology | Per payment | |
| Other Specialty | Per payment | |
| Radiology | Per payment | |
| Laboratory - Service | Per payment | |
| CD-4 T-Cell Count | Per payment | |
| Viral Load Test | Per payment | |
| Insurance – Medical Premium and deductible payments for a client’s medical insurance with a private insurance provider. Do not report payments to public payers (e.g. Medicare/Medicaid) here. |
Deductible Payment | Per payment |
| Premium Payment | Per month | |
| Oral Health Care Co-payments for Oral Health Care when a client has private dental insurance. |
Routine Treatment | Per payment |
| Prophylaxis | Per payment | |
| Specialty | Per payment | |
| Insurance – Oral Health Care Premium and deductible payments to a private insurer for dental insurance. |
Deductible Payment | Per payment |
| Premium Payment | Per month | |
| AIDS Pharmaceutical Assistance (Local) (not Medicare, Medicaid or Part D) Co-payments for a client’s medications when a client has drug coverage from a private insurer. |
Co-Payment | Per prescription |
| Insurance - Prescription Drugs (not Medicare, Medicaid or Part D) Premium and deductible payments for prescription drug benefits with a private insurer. |
Deductible Payment | Per payment |
| Premium Payment | Per month | |
| Medicare/Medicaid Supplement Premium, deductible or co-payments to Medicare/Medicaid. |
Deductible Payment | Per payment |
| Co-Payment | Per payment | |
| Premium Payment | Per month | |
| Deductible Payment – Part D | Per payment | |
| Co-Payment – Part D | Per payment | |
| Premium Payment – Part D | Per month | |
| Other Health Insurance Premium, deductible or co-payments to other health insurers. |
Deductible Payment | Per payment |
| Co-Payment | Per payment | |
| Premium Payment | Per month |
Section 5. HOPWA
The goals of the DSHS HOPWA Program are to help low-income persons living with HIV and their households establish or maintain affordable and stable housing, reduce their risk of homelessness, and improve their access to health care and supportive services. HOPWA Project Sponsors can visit the DSHS HOPWA Program page for information and resource materials applicable to the activities they are carrying out.
The service categories below are funded through annual formula grants to the State from the U.S. Department of Housing and Urban Development (HUD). They may not reflect services funded through other Ryan White Program Parts, direct HOPWA, or other funding sources. Certain services listed in Section 2 and all services listed in Section 3 are funded only through DSHS State Service funds.
Each service at the subcategory level will allow entry of a total cost amount that is the result of the agency’s unit cost calculation outside the data management system Take Charge Texas (TCT).
The service categories are subject to revision as new information and guidance is received from HUD.
| Service Category | Subcategories | Service Units |
|---|---|---|
| Permanent Housing Placement (PHP) Assistance for reasonable security deposits, related application fees, and other initial move-in costs associated with placement in housing. |
Permanent Housing Placement | Per payment |
|
Short-Term Rent, Mortgage and Utility Assistance (STRMU) |
Short Term Rental Assistance | Per payment |
| Mortgage Assistance | Per payment | |
| Utility Assistance | Per payment | |
|
Supportive Services |
Case Management | Per 15 Minutes |
| Smoke Detectors | Per payment | |
| Telephone Service | Per payment | |
| Tenant Based Rental Assistance (TBRA) Housing subsidy for tenant based rental assistance, including assistance for shared housing arrangements. It assists income eligible clients and their beneficiaries with rent and utilities until they are able to secure affordable, stable housing. TBRA was previously known as Rental Assistance. |
Tenant Based Rental Assistance | Per payment |
Section 6. Minority AIDS Initiative (MAI)
| Service Category | Revised |
|---|---|
| Health Education-Risk Reduction (HERR) | 5/11/2020 |
| Outreach Services | 5/11/2020 |
Section 7. Universal Standards – Monitoring Tools – Templates
| Tools |
|---|
| Universal Standards |
| Service Standards Review Crosswalk 2022 |
| DSHS Master Service Category Monitoring Tools 2022 |
| DSHS MAI Monitoring Tools |
| HOPWA Monitoring Tool |
Section 8. DSHS Guidance on Telemedicine, Teledentistry, and Telehealth
| Guidance and Resources |
|---|
| DSHS Telemedicine Guidance with COVID-19 Modifications |
| DSHS Telemedicine Users Guide and FAQs |
Section 9. Corrective Action Plan (CAP) Templates and Resources
| Tools and Resources |
|---|
| 2021 Ryan White Part-B/State Services Program Monitoring - Evaluation and Deficiency Response Plan |
|
Corrective Action Plan (CAP) Template - A provider or agency may use their own CAP template with approval of their Administrative Agency (AA) |
| Sample Chart Check Tool |