HIV Medical and Support Service Categories

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.

Outpatient / Ambulatory Medical Care – Revised 3/31/2017
Co-payments for Outpatient / Ambulatory Medical Care Services when a client has private insurance.

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.

Oral Health Care
Co-payments for Oral Health Care when a client has private dental insurance.

Insurance – Oral Health Care
Premium and deductible payments to a private insurer for dental insurance.

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.

Insurance – Prescription Drugs (not Medicare, Medicaid or Part D)
Premium and deductible payments for prescription drug benefits with a private insurer.

Medicare/Medicaid Supplement
Premium, deductible or co-payments to Medicare/Medicaid.

Other Health Insurance
Premium, deductible or co-payments to other health insurers.

Permanent Housing Placement (PHP)
Assistance for reasonable security deposits, related application fees, and other initial move-in costs associated with placement in housing.

Short-Term Rent, Mortgage and Utility Assistance (STRMU)
Housing subsidy for short-term rent, mortgage and utility payments to prevent homelessness of the tenant or mortgagor of a dwelling. This program provides assistance for a period not to exceed 21 weeks (147 days) worth of assistance in any 52 week period. These payments are for eligible individuals and their household beneficiaries who are already in housing and who are at risk of becoming homeless. STRUM was previously known as Emergency Assistance.

Supportive Services
Assistance for case management, basic telephone service and provision of smoke detectors. May be provided in conjunction with HOPWA housing assistance or as a stand alone service (Supportive Services Only).

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.

Corrective Action Plan (CAP) Template - A provider or agency may use their own CAP template with approval of their Administrative Agency (AA)

• CAP Template