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Child Care

HIV/STD Program

HIV/STD Program

HIV Medical and Support Service Categories

Child Care

Service Standard

Child Care Service Standard print version

Texas Department of State Health Services, HIV Care Services Group – HIV/STD Program

Subcategories Service Units
Child Care Services Per hour

Health Resources and Services Administration (HRSA) Description

The Ryan White HIV/AIDS Program (RWHAP) supports intermittent Child Care Services for children living in the household of RWHAP-eligible people living with HIV to enable clients to attend medical visits, related appointments, or RWHAP-related meetings, groups, or training sessions.

Allowable uses of funds include:

  • A licensed or registered child care provider to deliver intermittent care.
  • Informal child care provided by a neighbor, family member, or other person.

Program Guidance

Agencies should limit and carefully monitor the use of funds under this service category.

Informal child care arrangements may raise liability issues for the funding source, which agencies should carefully weigh in the decision process.

Limitations

Federal restrictions prohibit giving cash to clients or primary caregivers to pay for these services.
 
These funds cannot pay for child care while the client is at work, school, or other activities unrelated to accessing medical care or other RWHAP-related meetings, groups, or training sessions. 

Universal Standards

Service providers for Child Care Services must follow HRSA and DSHS Universal Standards 1-63 and 149-152.

Service Standards and Measures

The following standards and measures are guides to improving health outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program.

Standard Measure

Child Care Services: Documentation in the client’s primary record must reflect the appointment, meeting, group, or training session attended. At a minimum, documentation must include:

  • Date and duration of each unit of Child Care Services provided
  • Reason why child care was needed (e.g., client medical or other appointment or participation in a Ryan White-related meeting, group, or training session)
  • Any recreational and social activities, including documentation that they were provided only within a certified or licensed provider setting
  1. Percentage of clients with documentation of the medical appointment, related appointment, or Ryan White-related meeting, group, or training session attended.

References:

Division of Metropolitan HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part A Recipients. Health Resources and Services Administration, March 2025.

Division of State HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part B Recipients. Health Resources and Services Administration, March 2025.

Texas Human Resources Code Chapter 42: Regulation of Certain Facilities, Homes, and Agencies that Provide Child Care Services.

Texas Health and Human Services. Child Care Regulation: Minimum Standards. Accessed October 16, 2024.

Ryan White HIV/AIDS Program. Policy Notice 16-02: Eligible Individuals & Allowable Uses of Funds. Health Resources & Services Administration, October 22, 2018.