There are four (4) required criteria when determining the eligibility of a person for Ryan White services. The provider must have documentation all required criteria in the client’s official record and client must be eligible for services before requesting payment for provided services, and include: read more on page 6
For more detailed information, see Part B Program Eligibility Standards, revised March, 2018 and Part B Program Eligibility Guidelines revised January, 2018.
Complete Part B Services Standard Application Form, Authorization for Release of Protected Information, Certification Statement, and ADAP and MEDCAP Prescription Form. Also complete supplemental materials as necessary (e.g. Statement of No Income and/or Statement of Temporary Housing).
State covers some form of HCV drug therapies as part of their approved drug formularies: Yes
To learn more about what HCV drug therapies are on the drug formulary, please visit tiicann.org/co-infection-watch.html (go to page #7).