FAQ'S | GHR Planning Council

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EVMA-C3ID, 825 Fairfax Ae., Suite 572, Norfolk, VA23507 (757) 446-8989 MCM; 757-446-8999 OAHS
International Black Women's Congress, 1401 Tidewater Dr., Suite 10, Norfolk, VA 23504 757-625-0500
LGBT Life Center, 248 West 24th Street, Norfolk, VA 23517 757-640-0929
Minority AIDS Support Services, Inc. 247 28th Street, Suite 100, Newport News, VA 23607 757-247-1879
Minority AIDS Support Services, Inc., 2415 Lafayette Boulevard Norfolk, VA 23509 757-644-3595
Norfolk Community Health Center, 1401 Tidewater Drive, Suite 1, Norfolk, VA 23504 757-321-0969MCM; 757-623-0095 OAHS
Southeastern Virginia Health Systems, 4714 Marshall Avenue, Newport News, VA, 23607 757-952-1346
Urban League of Hampton Roads, 121 College Place, Suite 105, Norfolk, VA 23510 757-627-0864
Urban League of Hampton Roads, 1300 Thomas Street, Suite E, Hampton, VA 23669 757-226-8085
Urban League of Hampton Roads, 830 Goff Street, Norfolk, VA 23504 757-226-8085

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All clients must provide medical/legal documentation of HIV Infection. This documentation must be verified at the initial eligibility assessment only. One of the following acceptable documents is required:

LAB TEST
- A computer-generated HIV+ laboratory test (with confirmatory testing, i.e. Western Blot or detectable viral load) with the individual’s name pre-printed.)
AN ANONYMOUS HIV TEST RESULT containing identifying information sufficient to ensure a reasonable certainty as to the identity of the test subject, e.g. gender and date of birth (valid for only 30 days from the start of services at the agency). Documentation submitted form the healthcare provider
- A statement or letter signed by a medical professional (acceptable signatories listed below) indicating that the individual is HIV+, including the individual’s name and the phone number of the medical professional. Confirming documentation must be in the client’s medical record.
PREVIOUSLY OBTAINED DIAGNOSIS
- A medical progress note, hospital discharge paperwork, or other document signed by a medical professional (acceptable signatories listed below) indicating that the individual is HIV+, including the individual’s name and the phone number of the medical professional.

Acceptable signatories:

A licensed physician
A licensed physician assistant
A licensed nurse practitioner
A registered nurse working under the supervision of a physician
A licensed Master’s level social worker (LMSW, LCSW) working under the supervision of a physician

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The Norfolk TGA (Transitional Grant Area) Ryan White Part A Planning Council is a federally mandated group of dedicated volunteers appointed by the mayor of the city of Norfolk, Virginia to plan the organization and delivery of Ryan White Part A HIV/AIDS services. Part A funds go to Eligible Metropolitan Areas (EMA) and TGA's that have been hit hardest by the HIV/AIDS epidemic. Part A funds are used to meet the health service needs of people living with HIV/AIDS that are not met by any other health care programs.

It is also called the Planning Council, Ryan White Council or just Council.

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We are still learning about COVID-19 and how it affects people with HIV. Based on limited data, we believe people with HIV who are on effective HIV treatment have the same risk for COVID-19 as people who do not have HIV.

Older adults and people of any age who have serious underlying medical conditions might be at increased risk for severe illness. This includes people who have weakened immune systems. The risk for people with HIV getting very sick is greatest in:

People with a low CD4 cell count and
People not on effective HIV treatment (antiretroviral therapy or ART).

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The virus is highly contagious and threatens everybody in terms of its infectiousness. That said, there are some groups that are particularly vulnerable to developing serious complications:
Older adults (over 65) and people who have chronic medical conditions like HIV, heart disease, diabetes, and lung disease may have a higher risk of complications from COVID-19.
In the United States, nearly half of people with diagnosed HIV are aged 50 and older. People with HIV also have higher rates of chronic heart and lung disease. Like other respiratory infections among people with HIV, the risk of getting very sick is greatest in people with a low CD4 cell count and people not on HIV treatment.
People who are taking medicine to treat or prevent HIV should stick to their treatment plan, continue taking their medicine consistently, and follow the advice of their health care provider.
Encouraging people with HIV to stay on treatment and take preventative actions will play an essential role in protecting the health and well-being of those who are at higher risk of serious illness from COVID-19.
People with HIV who have COVID-19 have an excellent prognosis, and they should be clinically managed the same as persons in the general population with COVID-19, including when making medical care triage determinations.

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People with HIV should take everyday preventive actions to help prevent the spread of COVID-19.

People with HIV should also continue to maintain a healthy lifestyle. This includes:

Eating right
Getting at least 8 hours of sleep, and
Reducing stress as much as possible.

Staying healthy helps your immune system fight off infection should it occur.

If you have HIV and are taking your HIV medicine, it is important to continue your treatment and follow the advice of your health care provider. This is the best way to keep your immune system healthy.

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The proof of residency must have a minimum of two items from the list below / or the "Dependent Support Form" or the "Homeless Declaration Form"

Ryan White Part A Residency Requirements

Clients must provide current documentation as proof of residency, current meaning all documentation must be within 12 months of preprinted date on document. Residency documentation for minors is required for a parent or guardian with whom the minor resides.

Acceptable residency documentation includes:

Valid driver’s license or ID
Current utility/phone/cable bill in the name of the client
Current lease, rental agreement or mortgage in the name of the client or listing the client as an occupant
Current Property tax documents
Current credit card bill in the name of the client
Current letter on company letterhead signed by the director of a recognized group home, care home or transitional living facility
Any type of current business correspondence with the client’s name and address pre-printed, e.g. auto registration, insurance, bank/brokerage statement, food stamp letter, Social Security letter, Medicaid letter
Current pay stub with address
Post Office Boxes as long as there is another means to verify the address (i.e. current utility bill) (HIV/AIDS Policy Notice 13-02)
Client Residency Statement

The following documentation is acceptable for undocumented and/or homeless clients or clients that cannot initially verify:

Agency temporary residency affidavit signed and dated by the client (valid for only 30 days from the start of services at the agency)
Letter on company letterhead from a case manager, social worker, counselor or other professional from another agency who has personally provided services to the client.

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The Council has several major duties, including:

Determine the size and demographics of the population of individuals with HIV/AIDS.
Determining the needs of people living with HIV/AIDS, especially those not in care, affected subpopulations and historically under served communities.
Setting priorities for the allocation of funds.
Developing a comprehensive plan for the organization and delivery of health services.
Assessing the efficiency of the grant administration and the effectiveness of services.
Establishing data driven methods (focus groups, Ad Hoc panels, public meetings, etc.) which focus on community needs and priorities.
Defining Standards of Care for services provided to people living with HIV/AIDS.
Coordinate with Federal, State and local grantees that provide HIV-related services within the TGA.
Be available to facilitate and collaborate with all funded AIDS programs within the TGA, including but not limited to: the CARE Act Part A, B, C, D and F, housing opportunities for people living with AIDS (HOPWA) funds and Centers for Disease Control and Prevention (CDC) funds.
Participate in the development of the Statewide Coordinated Statement of Need (SCSN) initiated by the State Public Health agency responsible for administering grants under Part B (Title II)

The Council has a mandate to focus on people who are not in care (i.e. not receiving medical care) by assessing their needs and developing programs to bring them into care.

The Planning Council and its Committees use parliamentary procedure or Robert’s Rules of Order to conduct meetings. If you want to learn more about this procedure, access the link on the website called Decision Process.

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International Black Women's Congress, 1401 Tidewater Dr., Suite 10, Norfolk, VA 23504 757-625-0500
LGBT Life Center, 248 West 24th Street, Norfolk, VA 23517 757-640-0929
Minority AIDS Support Services, Inc. 247 28th Street, Suite 100, Newport News, VA 23607 757-247-1879
Minority AIDS Support Services, Inc., 2415 Lafayette Boulevard Norfolk, VA 23509 757-644-3595
Urban League of Hampton Roads, 121 College Place, Suite 105, Norfolk, VA 23510 757-627-0864
Urban League of Hampton Roads, 1300 Thomas Street, Suite E, Hampton, VA 23669 757-226-8085
Urban League of Hampton Roads, 830 Goff Street, Norfolk, VA 23504 757-226-8085

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Clean your hands often!
- Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
- If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
- Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid close contact:
- Avoid close contact with people who are sick
- Put distance between yourself and other people if COVID-19 is spreading in your community. This is especially important for people who are at higher risk of getting very sick.
Take steps to protect others:
- Stay home if you are sick, except to get medical care.
Cover coughs and sneezes:
- Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
Throw used tissues in the trash:
- Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.
Wear a facemask if you are sick or sneezing or coughing:
- If you are sick: You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room.
- If you are NOT sick: You do not need to wear a facemask unless you are caring for someone who is sick (and they are not able to wear a facemask). Facemasks may be in short supply and they should be saved for caregivers.
- If you don't have a facemask, making them are easy. Here's how you can make your own DIY facemask
Clean and disinfect:
- Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
- If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.

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Verification of identity must be included in all client charts. Verification of identity, like HIV Status, does not require additional documentation once it has been established, as long as the document is not expired.

Acceptable documentation for identity:

Virginia Driver’s License
Tribal ID
Virginia Identification Card
Military ID
Virginia Department of Corrections identification card
Employment badge with picture
Student ID with picture
U.S. immigration documents with picture
Credit card with picture
U.S. naturalization, citizenship, passport or other Federal documents with picture
Driver’s license or identification card issued by another US state
A government-issued ID from a country other than the U.S.
Birth certificate (cannot be used by married women)
Social Security card
Medicaid/Medicare card
VA ID Card

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The U.S. vaccine safety system makes sure all vaccines are as safe as possible. COVID-19 vaccines have gone through the same safety tests and meet the same standards as other vaccines. People with HIV were included in clinical trials, though safety data specific to this group are not yet available.

People with HIV are part of the group of people with underlying medical conditions. If you have HIV, you may choose to get vaccinated if you have not had a severe or immediate allergic reaction to any of the vaccine ingredients. If you have a weakened immune system, you should also be aware of the potential for reduced immune responses to the vaccine. If you decide to get vaccinated, continue to take everyday preventive actions to protect yourself against COVID-19.

Learn more about what CDC and other federal partners are doing to make sure COVID-19 vaccines are safe and effective.

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Reject Stigma! Do not scapegoat or blame groups of people

Despite the claims of some irresponsible leaders, the coronavirus is not the fault of any one country or racial/ethnic group. Viruses are part of our world and our shared human history. As LGBTQIA+ people and/or people living with HIV, we know how HIV stigma and anti-LGBTQIA+ stigma can enable the spread of HIV. It’s important not to stigmatize the coronavirus. No single racial or ethnic group of people is at greater risk of contracting or spreading the virus. The virus knows no borders and does not discriminate. Racism and xenophobia, including anti- Chinese and anti-Asian racism, are not helpful responses. Stigma can also occur after a person has been released from COVID-19 quarantine even though they are not considered a risk for spreading the virus to others. It is important to remember that people – including those of Asian descent who do not live in or have not recently been in an area of ongoing spread of the virus that causes COVID-19, or have not been in contact with a person who is a confirmed or suspected case of COVID-19 are not at greater risk of spreading COVID-19 than other Americans.

Manage Your Anxiety and Stress

The outbreak of coronavirus disease 2019 (COVID-19) may be stressful for people. Fear and anxiety about a disease can be overwhelming and cause strong emotions in adults and children. Coping with stress will make you, the people you care about, and your community stronger.

Everyone reacts differently to stressful situations. How you respond to the outbreak can depend on your background, the things that make you different from other people, and the community you live in.

If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others call 911
Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Disaster Distress Helpline: 1-800-985-5990 or text TalkWithUs to 66746. (TTY 1-800-846-8517)

Remain Hopeful!

Finally, it’s important to practice self-care and remain hopeful. We are in for a long haul, but we will get through this together if we take the appropriate precautions and make sacrifices now for the greater societal good. Here are some ideas to help get you and the people you love through this:

Take breaks from watching, reading, or listening to news stories, including social media. Hearing about the pandemic repeatedly can be upsetting.
Take care of your body. Take deep breaths, stretch, or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs.
Make time to unwind. Try to do some other activities you enjoy.
Connect with others. Talk with people you trust about your concerns and how you are feeling.
Check in on isolated individuals, especially people who are elderly or people living with a disability or chronic disease.

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CDC.gov/coronavirus

This site provides the latest public health and safety information on COVID-19 from CDC for consumers and the overarching medical and health provider community.

HRSA.gov/coronavirus

This page provides COVID-19 information specific to HRSA programs and grantees.

RWHAP COVID-19 Frequently Asked Questions

These FAQs were developed to assist RHWAP recipients, subrecipients, and stakeholders as they deliver critical services and assist local communities in response to COVID-19. This page is updated regularly.

HIVinfo.NIH.gov

Interim guidance for COVID-19 and persons living with HIV. The information in the brief version is excerpted directly from the full-text guidelines. The brief version is a compilation of the tables and boxed recommendations.

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Documentation of income must be provided for all members of the client’s household. Income documentation for minors is required for the parent(s) or guardian(s) with whom the minor resides.

Acceptable income documentation:

a current payroll stub/copy of payroll check/bank statement showing direct payroll deposit
Letter from employer on company letterhead indicating weekly or monthly wages
Proof of self-employment to include tax returns or business records or the like
Unemployment benefits letter/copy of check
Private disability/pension letter on company letterhead
Alimony/child support/foster care payments
IRS 1040 form (tax return)/W2 form/1099 form
Social Security award letter or proof of application for Social Security (valid for 6 months only)
VA benefits letter
Medicaid letter
Child or spousal support order with judge’s signature and date
Food Stamp award letter (TANF)
Client living off savings: bank/investment account statements from 3 consecutive months showing withdrawals for living expenses
Agency income affidavit signed and dated by the client (valid for only 30 days from initial service date if client reports income greater than $0.)
Supporter Statement signed and dated by the supporter, which includes the amount and type of support (room only, room and board, cash assistance, etc.) and the supporter’s phone number and address for verification (must be updated/verified semi-annually from the first date of service.)
No Income Statement (page 5 of MCM forms is acceptable)
Homeless client: letter on company letterhead from a case manager, social worker, counselor or other professional from another agency who has personally provided services to the client.

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Nearly half of people in the United States with diagnosed HIV are aged 50 years and older. People with HIV also have higher rates of certain underlying health conditions. Both increased age and these conditions can increase their risk for more severe illness if people with HIV get COVID-19, especially people with advanced HIV.

Steps that people with HIV can take to prepare in addition to what is recommended for everybody:

Make sure you have at least a 30-day supply of your HIV medicine and any other medications or medical supplies you need for managing HIV.
Talk to your health care provider and make sure all your vaccinations are up-to-date, including vaccinations against seasonal influenza and bacterial pneumonia because these vaccine preventable diseases disproportionally affect people with HIV.
Establish a plan for clinical care if you have to stay at home for a couple of weeks. Try to establish a telemedicine link through your HIV care provider’s online portal. If telemedicine is not available to you, make sure you can communicate with your provider by phone or text.
Make sure you can maintain a social network remotely, such as online, by phone, or by video chat. This can help you stay socially connected and mentally healthy, which is especially important for people with HIV.
People with HIV can sometimes be more likely than others to need extra help, from friends, family, neighbors, community health workers, and others. If you become sick make sure you stay in touch by phone or email with people who can help you.

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2022-23 Norfolk TGA PSRA Final Report
PSRA DAY 2 PACKET: Aug. 26, 2021
PSRA DAY 1 PACKET: Aug. 19, 2021
2022-23 PSRA Contact Information Form
2022-23 PSRA Conflict of Interest Form
4 Year NorfolkTGA GY21 PSRA(powerpoint)
2022-23 PSRA Process
2022-23 PSRA Code of Conduct Form
2020 - 2021 Priority Setting & Resource Allocation Report
2020 Resource Allocation by Service Category
2020 Priority Setting & Resource Allocation

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The Planning Council is comprised of twenty-three (23) members who serve a 2-year term with the option to be considered for two additional terms. The Council is to be representative of race, ethnicity, culture, gender, geography, consumer and care service categories. Members are selected for their expertise, knowledge, ability and willingness to view the entire HIV/AIDS system and its unique characteristics and should be reflective of the epidemic in the Greater Hampton Roads region.

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Currently, treatment for COVID-19 is very limited.

There is no evidence that any medicines used to treat HIV are effective against COVID-19. People with HIV should not switch their HIV medicine in an attempt to prevent or treat COVID-19.

Some clinical trials are looking at whether HIV medicines can treat COVID-19. Other trials are looking at the effectiveness of different drugs to treat COVID-19 in people with HIV.

They are also looking to better understand how people with HIV manage COVID-19. You can learn more at ClinicalTrials.gov

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The Planning Council is comprised of various share holders in the community who directly or indirectly interact with the HIV/AIDS community and who have a vested interest to ensure that the best possible services are provided to ensure a positive and healthy outcome for those served.

One of the most important components of the Planning Council membership and the reason why this program has been so successful over the years is the mandated requirement that one-third (33%) of Planning Council membership be consumers of services provided by the TGA. The involvement of the community is vital in ensuring that the funds are indeed being expended to their maximum benefit.

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Ryan White Part A is the payer of last resort for those services that are reimbursable by other payer sources and for services which payment has been made or can reasonably be expected. Client files must document, on a semi-annual basis, the agency’s efforts to verify client eligibility for other payer sources.

Medical Case Managers, Referral for Health Care and Supportive Services Staff and/or Eligibility Specialist must vigorously pursue eligibility of other funding sources e.g. Medicaid, CHIP, Medicare, state-funded HIV/AIDS programs, employer-sponsored health insurance coverage and other private health insurance.

Providers must assure that individual clients are enrolled in health care coverage whenever possible. All clients who meet the eligibility requirements (In lieu of maintaining the information in individual client files, the agency may employ a tractable mechanism that assures verification at least semi-annually.)

Services rendered under Ryan White Part A for days on which a client was eligible for Medicaid, Medicare, or another third-party payer will be recouped by the City of Norfolk. The agency however, will not be cited for failing to use Ryan White as the payer of last resort if the above documentation showing the client is ineligible for Medicaid or Medicare is in the client file at the time of the site visit.

Acceptable to demonstrate client enrollment or attempt to enroll in ACA:
- Marketplace eligibility notice
- Marketplace notice of ineligibility
- Marketplace Certificate of Exemption
- Federal Tax Form 1040 and accompanying schedules
For clients with insurance coverage, copies of the insurance card must be maintained in the client record along with other pertinent information such as co-pay amounts, deductibles, caps on coverage.
Acceptable documentation to verify Medicaid/Medicare eligibility status:
- Verification of employment, i.e. payroll stub, copy of payroll check, bank statement showing direct payroll deposit, letter from employer on company letterhead indicating weekly or monthly wages no greater than 6 months old (to demonstrate Medicaid/Medicare eligibility status)
- Medicaid/Medicare rejection letter covering the dates of service
- Signed note in patient record showing date and time of call to Medicaid/Medicare
- Medicaid Referral Assessment form.
- Marketplace eligibility notice
- For undocumented or homeless clients, Letter on company letterhead from a case manager, social worker, counselor or other professional from another agency who has personally provided services to the client

NOTE: The Grantee’s Office may during site visits to agencies providing Medicaid/Medicare reimbursable services, record the social security numbers of “reviewed” client records only. This measure is intended for the sole purpose of assuring that Ryan White Part A is the payor of last resort, as directed/dictated by The Health Resources & Services Administration (HRSA).

After the Medicaid/Medicare eligibility status has been verified/established, all records of the Social Security Number are destroyed. All references to a client will be made by the use of the established Unique Record Identifier (URN).

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Drug shortages or anticipated problems with HIV medicine have not been identified.

The U.S. Food and Drug Administration (FDA) is closely monitoring the drug supply chain, as the COVID-19 pandemic has the potential to disrupt the supply of medical and pharmaceutical products in the United States.

The National Alliance of State and Territorial AIDS Directors (NASTAD) has also remained in contact with the major manufacturers of HIV medicine, as many of these products rely on ingredients produced in other countries.

As of January 26, 2021, there were no reports of manufacturing concerns or supply shortages of ART or PrEP.

Learn more about the FDA’s response to COVID-19.

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Membership application forms are available from Council staff and on the Council web site at the Planning Council Membership page.

The Membership/Nominations Committee reviews applications of potential applicants on an ongoing basis.

The Membership/Nominations Committee selects nominees and forwards names to the full Council.

The Council votes on the applicants, and the names are forwarded to the Mayor for appointment.

The Membership/Nominations Committee strongly recommends that persons thinking about applying to the Council attend several Council or committee meetings first.

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The Membership & Nominations Committee will maintain an ongoing and open recruitment process to solicit applicants for Planning Council membership.

The Membership and Nominations Committee shall identify nominees by advertising in the media, posting on the website and through individual contacts throughout the TGA. The Committee will submit to the Chair of the Council a list of candidates for Council membership. In the event of a vacancy, the Committee shall submit to the Chair of the Council names for appointment within thirty (30) days. The Committee will follow the established approved "Council Nominations Process".

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All terms of Planning Council members shall be for two (2) years and shall commence of the first (1) day of June and end on May 31st.

It is recommended that terms be staggered with members serving no more than three (3) consecutive two-year terms. An individual may be eligible for an additional appointment after rotating off the Council for one (1) calendar year and are members in good standing with the Council.

Council members must meet the meeting attendance requirements to stay in good standing.

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International Black Women's Congress, 1401 Tidewater Dr., Suite 10, Norfolk, VA 23504 757-625-0500
LGBT Life Center, 248 West 24th Street, Norfolk, VA 23517 757-640-0929
Minority AIDS Support Services, Inc. 247 28th Street, Suite 100, Newport News, VA 23607 757-247-1879
Urban League of Hampton Roads, 121 College Place, Suite 105, Norfolk, VA 23510 757-627-0864
Urban League of Hampton Roads, 1300 Thomas Street, Suite E, Hampton, VA 23669 757-226-8085
Urban League of Hampton Roads, 830 Goff Street, Norfolk, VA 23504 757-226-8085

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The Ryan White HIV/AIDS Treatment Modernization Act was recently reauthorized in December of 2006. It redefined funded areas into two subsets:

EMAs or Eligible Metropolitan Areas
TGAs or Transitional Grant Areas.

Prior to 2007, the legislation had been known as the Ryan White CARE Act. This federal legislation was originally passed in 1990 and reauthorized in 1995, 2000 and 2006. It authorized spending federal dollars for HIV health services through five different titles or parts.

It was envisioned as a disaster relief bill to help cities and states overwhelmed by the costs of caring for people with HIV/AIDS. It helps support a comprehensive continuum of HIV health services for low-income people living with HIV.

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Part A (previously Title I) funds go directly to the urban areas hardest hit by HIV/AIDS. Provides assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs)—locales that are most severely affected by the HIV/AIDS epidemic.

When the first Part A grants were awarded in FY 1991, there were 16 EMAs. Today, 24 EMAs and 32 TGAs receive funding.In FY 2010, approximately $679.1 million was appropriated for Part A spending.

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Part B (previously Title II) provides grants to States and U.S. Territories.Part B grants include a base grant, the AIDS Drug Assistance Program (ADAP) award, ADAP supplemental grants, grants to States for Emerging Communities, and an award for Minority AIDS Initiative activities.

For FY 2010, $1.25 billion was appropriated for Part B programs, and $835 million was earmarked for ADAP.

For FY 2010 $8.4 million was awarded for MAI activities in 33 States, the District of Columbia , Puerto Rico, and the U.S. Virgin Islands

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Part C (previously Title III) provides grants for community-based organizations, clinics, hospitals, and other health facilities that provide early intervention services to people infected with HIV/AIDS through intravenous drug use. The FY 2010 appropriation for Part C EIS was $206.8 million. Since FY 1991, approximately $1.85 billion has been appropriated for Part C programs.

In FY 2009, 253 organizations received grants totaling approximately $187.1 million.

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Part F covers: the AIDS Education and Training Centers (AETC) training for health care providers.

It's responsible for the Ryan White HIV/AIDS Dental Reimbursement Program (DRP) for agencies to reimburse the uncompensated costs incurred by agencies in providing oral health treatment to PLWHA as well as funds the Community Based Dental Partnership Program (CBDPP) which provides oral health care in the community and also trains dental professionals.

Finally, Part F is home to the Special Programs of National Significance (SPNS) models of care.

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Ryan White funds pay for primary medical care, dental care, substance abuse treatment, mental health care, case management, and dental health services.

In addition, 25% of total funds can be used for support services that help people get into medical care or stay in care such as housing assistance. It also pays for Planning Council staff and activities such as needs assessment, evaluation, comprehensive planning and grant administration.

The funds are distributed to community-based organizations, public health programs, community health clinics, and hospitals.

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Yes.

The Federal government has a number of restrictions on funding:

The money cannot be spent on capital improvements or construction.
It cannot pay for permanent housing services.
It must be used as the payer of last resort, meaning that if a service can be paid for somewhere else, such as billed to Medicaid, it cannot be paid for by Ryan White Part A.
Money also cannot be given directly to consumers.

The ability to use funds for counseling and testing or prevention services is limited.

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Core and Support Services are available to HIV infected persons who meet eligibility requirements regardless of age, race, ethnicity, religion, gender, and sexual orientation.

For a listing of locations please go to the Services page on this website.

For a brief description and listing of services standards offered, please go to the Service Standards page

Core medical services may include:

outpatient and ambulatory health services
pharmaceutical assistance
oral health care
early intervention services
health insurance premium and cost-sharing assistance
home health care
medical nutrition therapy
hospice services
home and community-based health services
mental health services,
outpatient substance abuse care, and
medical case management, including treatment-adherence services.

Support services may include:

outreach
medical transportation
linguistic services
respite care for caregivers of people with HIV
referrals for health care and other support services
non-medical case management, and
residential substance abuse treatment services.

For a listing of locations please go to the Services page on this website.

For a brief description and listing of services standards offered, please go to the Service Standards page

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Over 5,000 people received services in the TGA in 2007. Compared to the demographics of all people living with HIV/AIDS, Ryan White Part A clients are disproportionately poor, people of color, and women. Of those for whom we have demographic information:

The majority of clients are people of color (65%), including 36% African American, 29% Latino, 1% Asian/Pacific Islanders, and 34% White. Most are men (65%), with 35% women.
Nearly 70% of clients are within 0 to 150% of the 2006 Federal Poverty Level. Further, 66.5% of those meeting the Federal Poverty Level Criteria have a Disabling AIDS or Disabling HIV+ status.
One third are homeless or in unstable housing such as a shelter, a treatment program, or staying with friends.
27% have no health insurance and half are on public insurance.
Nearly 42% report injection drug use (IDU) as their HIV exposure risk, 20% report MSM, 23% identified other sexual contact as their exposure risk and 15% did not report their exposure risk or are unknown.

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FREQUENTLY ASKED QUESTIONS

Select a category below for more information on the Planning Council and the Ryan White Program!

Medical Case Management

Proof of HIV Infection (must be provided only on initial intake)

Orientation &amp; Training Materials for Planning Council Members

What is the Greater Hampton Roads HIV Health Services Planning Council?

2016-2020

2016-2020

Outpatient Ambulatory Health Services

2016-2020

Are people with HIV at higher risk for COVID-19 than other people?

Who is at Risk?

2016-2020

2016 - 2020

2015-2011

Planning Council By-Laws

2011-2015

What can people do with HIV to protect themselves from COVID-19?

Proof of Residency

Medical Case Management

What does the Planning Council do?

2011-2015

Early Intervention Services

2011-2015

What Can You Do To Reduce Your Risk Of Becoming Infected?

2011-2015

2016 - 2020

When and where does the Planning Council meet?

2020 Agendas &amp; Minutes

Proof of Identification (Photo ID)

Are COVID-19 vaccines safe for people living with HIV?

Health Insurance Premium and Cost Sharing

Non-Medical Case Management

Planning Council and Recipients Policies &amp; Procedure Manual

What Can You Do To Help Yourself and Others Cope?

2020 Agendas &amp; Minutes

What should I do if I think I may have COVID-19?

COVID-19 Resources

Proof of Income Level

Mental Health

Memorandum of Understanding

How can I find out about the PC meeting times and agendas?

Dental/Oral Health

What else can people with HIV who are at a higher risk of getting sick with COVID-19 do to protect themselves?

How do you contact PC members or staff?

Priority Setting & Resource Allocation (PSRA)

Dental and Oral Health

Mental Health Services

Assessment of the Administrative Mechanism (AAM)

Who is on the Council?

Can HIV medicine (ART's) be used to treat COVID-19?

Pharmacy Program / Drug Reimbursement

Health Insurance Premium &amp; Cost Sharing

Who makes up the Planning Council?

Verification of Insurance or Other Payer Sources

Outpatient Ambulatory Health Services

Are shortages of HIV medicines (ART's) or Pre-Exposure Prophylaxis (PrEP) expected?

Integrated HIV Prevention and Care Plan

Early Intervention Services

Substance Abuse

If I'm interested in joining the Council, how do I do that?"

Needs Assessments Reports

AIDS Pharmaceutical Assistance

Should people with HIV travel at this time?

Directives to the Recipient's Office

Medical Transportation

What can everyone do to minimize stigma about COVID-19?

Housing Assistance &amp; Related Services

Who nominates the members?

Clinical Quality Management Plan

What is the term of office?

Emergency Financial Assistance

Health Education / Risk Reduction

2019 Agendas &amp; Minutes

Can I participate without becoming a member?

2011 - 2015

Non-medical Case Management

2019 Agendas &amp; Minutes

Emergency Financial Assistance

End of Year Reports

Orientation & Training Materials for Planning Council Members

2020 Agendas & Minutes

Planning Council and Recipients Policies & Procedure Manual

2020 Agendas & Minutes

Health Insurance Premium & Cost Sharing

Housing Assistance & Related Services

2019 Agendas & Minutes

2019 Agendas & Minutes

2018 Agendas & Minutes

2018 Agendas & Minutes

2017 Agendas & Minutes

2017 Agendas & Minutes

2016 Agendas & Minutes

2016 Agendas & Minutes

2015 Agendas & Minutes

2015 Agendas & Minutes