HIV Medical and Support Service Categories
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. 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) | April 2023 |
| Health Insurance Premium and Cost Sharing Assistance | April 2023 |
| Home and Community-Based Health Services | April 2023 |
| Home Health Care | April 2023 |
| Hospice Services | April 2023 |
| Local AIDS Pharmaceutical Assistance (LPAP) | April 2023 |
| Medical Case Management (including Treatment Adherence Services) | April 2023 |
| Medical Nutritional Therapy | April 2023 |
| Mental Health Services | April 2023 |
| Oral Health Services | April 2023 |
| Outpatient/Ambulatory Health Services | April 2023 |
| Substance Abuse Outpatient Care | April 2023 |
Section 2. Support Services
Some services listed here may not be funded with Ryan White Part B funds.
| Service Category | Revised |
|---|---|
| Child Care Services | April 2023 |
| Emergency Financial Assistance (EFA) | April 2023 |
| Food Bank/Home-Delivered Meals | April 2023 |
| Health Education/Risk Reduction (HE/RR) | April 2023 |
| Housing Services | April 2023 |
| Linguistic Services | April 2023 |
| Medical Transportation Services | April 2023 |
| Non-Medical Case Management | April 2023 |
| Other Professional Services | April 2023 |
| Outreach Services | April 2023 |
| Psychosocial Support Services | April 2023 |
| Referral For Health Care and Support Services | April 2023 |
| Rehabilitation Services | April 2023 |
| Respite Care | April 2023 |
| Substance Abuse Services (Residential) | April 2023 |
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 |
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 |
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 |
Deductible Payment | Per payment |
| Premium Payment | Per month | |
|
Oral Health Care |
Routine Treatment | Per payment |
| Prophylaxis | Per payment | |
| Specialty | Per payment | |
|
Insurance – Oral Health Care |
Deductible Payment | Per payment |
| Premium Payment | Per month | |
|
AIDS Pharmaceutical Assistance (Local) (not Medicare, Medicaid or Part D) |
Co-Payment | Per prescription |
|
Insurance – Prescription Drugs (not Medicare, Medicaid or Part D) |
Deductible Payment | Per payment |
| Premium Payment | Per month | |
|
Medicare/Medicaid Supplement |
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 |
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) |
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 |
|
Tenant Based Rental Assistance (TBRA) |
Tenant Based Rental Assistance | Per payment |
Section 6. Minority AIDS Initiative (MAI)
| Service Category | Revised |
|---|---|
| Health Education-Risk Reduction (HERR) | May 2020 |
| Outreach Services | May 2020 |
Section 7. Universal Standards – Monitoring Tools – Templates
Section 8. Corrective Action Plan (CAP) Templates and Resources
| Tools and Resources |
|---|
| 2023/2024 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) |