(1) The Ryan White Part B Program provides reimbursement to providers for services given to HIV positive individuals who meet the eligibility requirements. The Ryan White Part B Program provides limited services as described in this rule. The Department provides reimbursement coverage under the program only for services for each program:
- (a) as provided in law governing the Ryan White HIV/AIDS Treatment Extension Act of 2009;
- (b) to the extent that it has agreed to reimburse providers with whom it contracts to provide services; and
- (c) as limited in its agreements or contracts with providers.
(2) Within available funding, the Department provides Core Medical and Supportive Services as allowable under the legislation;
- (a) The AIDS Drug Assistance Program (ADAP) provides HIV related medications, health insurance premium, and cost-sharing assistance.
- (b) Supportive Services Program provides a variety of supportive services that enable the client to access medical care as well as to retain the client in medical care.
- (3) The Department may adjust the services available to meet current needs and fluctuations in available funding.
- (4) The Ryan White Part B Program is not health insurance. This program does not create a relationship with the Department as the insurer and the client as the insured.
KEY: treatment and care, HIV/AIDS, ADAP, Ryan White Part B Program
Date of Last Change: August 15, 2023
Notice of Continuation: May 7, 2026
Authorizing, and Implemented or Interpreted Law: 26B-7-207; 26B-7-202(1); 26B-7-202(2)(b); 26B-7-227