To qualify for North Dakota Ryan White Program, an individual must:
- To be eligible to receive Ryan White Part B services, person must have a confirmed HIV infection. RW case managers do not need a proof of HIV infection, as that information is available through the HIV Surveillance Program.
- Client must be a resident of North Dakota and needs to provide a state issued ID within 60 days of enrollment.
- Clients must have a gross income at or below 400% of the current federal poverty level. The client must provide a month of pay stubs or a copy of their tax return for the previous year to verify their eligibility. All unemployed clients, or those that have not filed taxes for the previous year, must indicate so on the enrollment form.
- Clients with gross household incomes of 401% to 500% of the poverty level may continue to receive case management and ADAP insurance assistance (including premium and copay/deductible assistance) if they are enrolled in a Marketplace or the off-Marketplace insurance recommended by ADAP. Their assistance will continue until the client is able to transition onto other public or private health coverage, until the client is eligible to enroll in a self-selected Marketplace plan North Dakota Ryan White Program Part B Manual, March 2019 Page 49 through special enrollment, or until the current Marketplace plan ends on December 31 of the current year.
Clients must apply for all eligible health coverage to ensure that Ryan White is the payer of last resort.
Clients with no health coverage must complete the Statement of No Health Coverage. Clients that are eligible for other coverage must apply and provide a proof of acceptance or denial within 3 months. See Health Coverage Policy for more information.
For more information, or to apply for the program, please contact a case management agency in your area or call 800-472-2180 or 701-328-2378.
A PDF version of the application is also available online.
Fill out the form and return it and all required documents to your case manager or mail to:
Ryan White Program Part B
North Dakota Department of Health
Division of Disease Control
2635 East Main Avenue
Bismarck, ND 58506-5520
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).
State covers Cabenuva as part of their approved drug formularies: Yes