|Day Care – Infected Child (under 13)
|Day Care – Infected Adult
|Respite Care Sporadic relief of the caregiver of any aged, infected client.
Health Resources and Services Administration (HRSA) Description
Respite Care is the provision of periodic respite care in community or home-based settings that includes non-medical assistance designed to provide care for a HRSA Ryan White HIV/AIDS Program (RWHAP)-eligible client to relieve the primary caregiver responsible for the day-to-day care of an adult or minor living with HIV.
Recreational and social activities are allowable program activities as part of a respite care service provided in a licensed or certified provider setting including drop-in centers within HIV Outpatient/Ambulatory Health Services or satellite facilities.
Funds may not be used for off-premise social/recreational activities or to pay for a client’s gym membership.
Funds may not be used for informal respite care. Direct cash payments to clients are not permitted.
Services funded under this category are designed to relieve primary caregiver(s) responsible for providing day-to-day care. A caregiver is defined as someone who cares for a person living with HIV.
Service providers for Respite Care must follow HRSA/DSHS Universal Standards 1-46 and 185-188.
Service Standards and Measures
The following standards and measures are guides to improving health outcomes for people living HIV throughout the State of Texas within the Ryan White Part B and State Services Program.
Initial Brief Assessment: Agency staff will initiate an intake within 5 business days of the referral, which should include:
Plan of Care: In collaboration with the client and client’s family, a plan of care will be developed within 10 business days of the initial brief assessment. The plan of care should be signed and dated by the client and/or the client’s legal guardian. A copy of the plan must be offered to the client and this must be documented in the client’s record.
The plan of care should include:
Documentation that the plan of care is being followed should be present in the record and include, at a minimum, a sign-in sheet documenting attendance in a facility or documentation of a professional support provider’s attendance in the home.
The plan of care should be reviewed at least every 6 months to see if progress is being met toward the objective of the respite care, with documentation present in the client’s primary record.
Referrals: If the needs of the client are beyond the scope of the services provided by the agency, a referral to another level of care should be made. Documentation of the referral and the outcome of the referral should be present in the client’s primary record.
Discharge: The agency and client will collaborate on a discharge plan once objectives have been met. The reason for discharge should be included in the plan, and may include:
Note: Staff should not inactivate clients in Take Charge Texas (TCT) at the time of discharge, unless the case is being closed due to a deceased client.
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, June 2022.
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, June 2022.
Ryan White HIV/AIDS Program. Policy Notice 16-02: Eligible Individuals & Allowable Uses of Funds. Health Resources & Services Administration, October 2018.