64DER26-8 (64D-4.003) Eligibility and Documentation Requirements.

Only an individual seeking assistance, or their court-appointed representative, legal representative, or legal guardian seeking assistance on their behalf, may apply for services. Program enrollment and services are subject to available funding. An applicant for HIV/AIDS Patient Care and/or HOPWA Programs is eligible to be linked to services based on a preliminary positive HIV test result from a test approved by the Food and Drug Administration to determine the presence of HIV infection. For this rule, linkage to service is defined as referring the applicant to eligibility determination and counseling services and the scheduling of medical appointments. To be considered eligible for an HIV/AIDS Patient Care and/or HOPWA Program an applicant:

1. (1) Must have a positive test result from a test approved by the Food and Drug Administration to determine the presence of HIV infection.
2. (2) Must be living in Florida which may be documented by providing one of the following: current state or local Florida photo identification; utility bill, with name and street address; housing, rental or mortgage agreement in client’s name; recent school records; bank statement, with name and street address; letter from person with whom the applicant resides; property tax receipt or W-2 form for previous year; unemployment document with street address; current voter registration card; official correspondence, postmarked in last 3 months; prison records, if recently released; current documentation from the Florida Medicaid Managed Information System (FLMMIS) or the Medical Eligibility Verification System (MEVSNET) showing that the applicant is currently receiving Medicaid or assistance from the Supplemental Nutritional Assistance Program (SNAP), formally known as food stamps; Florida Department of Corrections offender search website photo print out; or a Declaration of Domicile, as per section 222.17, F.S. If homeless: a statement from the shelter in which the applicant resides or visits; physical observation of location of residence by eligibility staff; a written statement from the applicant describing living circumstances may be used, signed and dated by the applicant. Eligibility staff may provide assistance with writing the statement; or a statement from a social service agency attesting to the homeless status of the applicant.
3. (3) Cannot be receiving the same services or be eligible to participate in local, state, or federal programs where the same type service is provided or available.
4. (4) Must have low-income, which must be verified through the provision of W2s, tax returns, pay stubs, documentation of unemployment, or Medicaid award documentation.
5. (5) Must submit a completed and signed Application to Receive Allowable Services, DH8028-DCHP-02/2026 (eff. 02/2026), which is incorporated by reference and available at https://www.floridahealth.gov/wp-content/uploads/2026/02/DH8028-DCHP-02.2026__ER-application.pdf, be willing to cooperate with eligibility staff during the eligibility process, and comply with the Rights and Responsibilities stated in the application.

6. (6) Must have their eligibility confirmed every 366 days or at shorter intervals if the individual’s income or other factors change. To avoid a lapse in eligibility, individuals may confirm eligibility up to 45 days before the expiration of their Notice of Eligibility.

   The above items can be satisfied by providing a current Notice of Eligibility from a Ryan White Part A program.

   

   

   

   

Rulemaking Authority 381.0011(2), 381.003(2) FS. Law Implemented 381.0011, 381.003(1)(b) FS. History–New 1-23-07, Amended 10-27-08, 7-4-16, 10-12-22, Supersedes 64DER26-5, 3-24-26.