This page contains the complete Ryan White Program Service Delivery Guidelines Fiscal Year 2010-2011 (Year 20). This information is also available on the Miami-Dade County Office of Grants Coordination Ryan White Program Service Delivery Guidelines site. For more information, contact Ariela Eshel, Quality Management Coordinator, Behavioral Science Research.

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Service Delivery Guidelines

Ryan White Program Service Delivery Guidelines FY 2010-2011 (Year 20)

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 20) Effective March 1, 2010
• Ryan White Program Cost & Eligibility Summary (Year 20)

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 for Adults/Adolescents: Groups 1, 2 and 3
• HAB HIV Performance Measures: Medical Case Management
• HAB HIV Performance Measures: Oral Health Services
• 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 2010–2011 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 Selzentry (Maraviroc)
• Letter of Medical Necessity for Sporanox (Itraconazole)
• Letter of Medical Necessity for the Trofile Co-Receptor Tropism Assay
• 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
• 2009 HHS Federal Poverty Guidelines