This page contains the complete Ryan White Program Service Delivery Guidelines Fiscal Year 2011-2012 (Year 21). This information is also available on the Miami-Dade County Office of Grants Coordination Ryan White Program Service Delivery Guidelines site.

Click here for the Ryan White Program Prescription Drug Formulary (OGC site).

For more information, contact Ariela Eshel, Quality Management Coordinator, Behavioral Science Research.

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Ryan White Program Service Delivery Guidelines FY 2011-2012 (Year 21)

Section I: Service Definitions
• General Requirements, Minority AIDS Initiative Requirements & Referral Requirements
• Outpatient Medical Care
• Prescription Drugs
• Medical Case Management
• Oral Health Care
• Mental Health Therapy/Counseling
• Substance Abuse Counseling — Outpatient Treatment and Residential Treatment
• Insurance Services
• Psychosocial Services
• Outreach
• Food Services
• Transportation Vouchers
• Legal Assistance
• Transportation Services (Vans)

Section II: Ryan White Program Cost & Eligibility Summary (Year 21)
• Ryan White Program Cost & Eligibility Summary (Year 21)

Section III: Service Delivery Standards & Treatment Guidelines
• Ryan White Program System-wide Standards of Care
• Ryan White Program Case Management Standards of Service
• National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care
• HAB/HIV Core Clinical Performance Measures
• Ryan White Program Minimum Primary Medical Care Standards for Chart Review
• Ryan White Program Oral Health Care Standards
• Treatment Guidelines & Additional Service Delivery Standards

Section IV: Licensing & Accreditation Requirements
• Ryan White Program FY 2011-2012 Licensing & Accreditation Requirements

Section V: Letters of Nutritional Assessment, Medical Necessity, and Prior Authorization
• Food Bank
• Home Delivered Meals
• Antiretroviral Phenotype Resistance Assays for Experienced Patients
• Letter of Medical Necessity for Aptivus (Tipranavir)
• Letter of Medical Necessity for Fuzeon (Enfuvirtide)
• Letter of Medical Necessity for Nutritional Supplements
• Letter of Medical Necessity for Roxicodone (Oxycodone) and Percocet (Oxycodone/APAP)
• Letter of Medical Necessity for the Trofile Co-Receptor Tropism Assay required to prescribe Selzentry (Maraviroc)
• Letter of Medical Necessity to Accompany a Prescription for Selzentry (Maraviroc)
• Letter of Medical Necessity for Sporanox (Itraconazole)
• Letter of Medical Necessity for Neupogen (Filgrastim)
• Letter of Medical Necessity for Procrit or Epogen (Epoetin Alpha)

Section VI: Client Eligibility Requirements
• Acceptable Documentation for Client Eligibility
• 2011 HHS Federal Poverty Guidelines