Ryan White HIV/AIDS Program Part A Manual U.S. Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Revised 2013 i CONTENTS SECTION I: OVERVIEW OF THE RYAN WHITE HIV/AIDS PROGRAM ......................................................................... 1 I. CH 1. OVERVIEW ........................................................................................................................................................ 1 I. CH 2. RYAN WHITE HIV/AIDS PROGRAM LEGISLATION ..................................................................................................... 1 I. CH 3. RYAN WHITE HIV/AIDS PROGRAM STRUCTURE ...................................................................................................... 2 I. CH 4. RYAN WHITE HIV/AIDS PROGRAM ADMINISTRATION .............................................................................................. 4 I. CH 5. OVERVIEW OF THE RYAN WHITE PART A PROGRAM .................................................................................................. 5 I. CH 6. THE DIVISION OF METROPOLITAN HIV/AIDS PROGRAMS .......................................................................................... 8 I. CH 7. TECHNICAL ASSISTANCE FOR THE RYAN WHITE COMMUNITY ....................................................................................... 8 I. CH 8. REFERENCES, LINKS, AND RESOURCES ..................................................................................................................... 8 SECTION II: HIV SERVICE DELIVERY SYSTEM ......................................................................................................... 10 II. CH 1. OVERVIEW ..................................................................................................................................................... 10 II. CH 2. LEGISLATIVE BACKGROUND ................................................................................................................................ 10 II. CH 3. RYAN WHITE CORE MEDICAL SERVICES ................................................................................................................ 12 II. CH 4. RYAN WHITE SUPPORT SERVICES ........................................................................................................................ 14 II. CH 5. HIV CARE CONTINUUM .................................................................................................................................... 15 II. CH 6. COORDINATION OF SERVICES AND FUNDING STREAMS ............................................................................................ 16 II. CH 7. COLLABORATIVE PLANNING PROCESSES ............................................................................................................... 17 II. CH 8. REFERENCES, LINKS, AND RESOURCES .................................................................................................................. 17 SECTION III: NATIONAL HIV/AIDS STRATEGY AND RYAN WHITE LEGISLATION ..................................................... 19 III. CH 1. OVERVIEW .................................................................................................................................................... 19 III. CH 2. GOALS FOR THE NATIONAL HIV/AIDS STRATEGY ................................................................................................. 19 III. CH 3. NHAS AND THE RYAN WHITE PART A PROGRAM ................................................................................................. 20 III. CH 4. REFERENCES, LINKS, AND RESOURCES ................................................................................................................. 21 SECTION IV. GRANTS ADMINISTRATION .............................................................................................................. 22 IV. CH 1. OVERVIEW .................................................................................................................................................... 22 IV. CH 2. LEGISLATIVE AND REGULATORY REQUIREMENTS ................................................................................................... 22 IV. CH 3. PUBLIC HEALTH SERVICE GRANTS MANAGEMENT PROCEDURES .............................................................................. 25 IV. CH 4. COSTS FOR ADMINISTRATION AND QUALITY MANAGEMENT ................................................................................... 28 IV. CH 5. FISCAL REQUIREMENTS FOR GRANTS ADMINISTRATION.......................................................................................... 33 IV. CH 6. MAINTENANCE OF EFFORT ............................................................................................................................... 37 IV. CH 7. REFERENCES, LINKS, AND RESOURCES ................................................................................................................. 41 SECTION V: GRANTEE AND SUBGRANTEE MONITORING ...................................................................................... 42 V. CH 1. OVERVIEW ..................................................................................................................................................... 42 V. CH 2. LEGISLATIVE BACKGROUND ............................................................................................................................... 42 V. CH 3. RYAN WHITE PART A NATIONAL MONITORING STANDARDS .................................................................................... 43 V. CH 4. MONITORING PROGRAM .................................................................................................................................. 44 V. CH 5. REFERENCES, LINKS, AND RESOURCES .................................................................................................................. 48 SECTION VI: DATA AND REPORTING REQUIREMENTS .......................................................................................... 50 VI. CH 1. OVERVIEW .................................................................................................................................................... 50 VI. CH 2. REQUIRED PROGRAM AND FISCAL REPORTS ......................................................................................................... 50 VI. CH 3. SUBMISSION OF REPORTS................................................................................................................................. 54 VI. CH 4. REPORTING DEADLINES ................................................................................................................................... 55 ii Ryan White HIV/AIDS Program Part A Manual—Revised 2013 VI. CH 5. REFERENCES, LINKS, AND RESOURCES ................................................................................................................. 55 SECTION VII. CLINICAL QUALITY MANAGEMENT .................................................................................................. 56 VII. CH 1. OVERVIEW ................................................................................................................................................... 56 VII. CH 2. LEGISLATIVE BACKGROUND ............................................................................................................................. 57 VII. CH 3. HAB PROGRAM EXPECTATIONS ....................................................................................................................... 58 VII. CH 4. QUALITY MANAGEMENT CONCEPTS .................................................................................................................. 59 VII. CH 5. REFERENCES, LINKS, AND RESOURCES ................................................................................................................ 64 SECTION VIII. INSURANCE PROGRAMS ................................................................................................................. 67 VIII. CH 1. OVERVIEW .................................................................................................................................................. 67 VIII. CH 2. LEGISLATIVE BACKGROUND ............................................................................................................................ 67 VIII. CH 3. PRIVATE INSURANCE COVERAGE FOR HIV/AIDS CARE ........................................................................................ 68 VIII. CH 4. PUBLIC HEALTH CARE PROGRAMS ................................................................................................................... 69 VIII. CH 5. REFERENCES, LINKS, AND RESOURCES ............................................................................................................... 74 SECTION IX. CHIEF ELECTED OFFICIAL GUIDE ........................................................................................................ 75 IX. CH 1. OVERVIEW .................................................................................................................................................... 75 IX. CH 2. LEGISLATIVE BACKGROUND ............................................................................................................................... 75 IX. CH 3. OVERVIEW OF THE RYAN WHITE HIV/AIDS PROGRAM ......................................................................................... 76 IX. CH 4. CEO DUTIES .................................................................................................................................................