The Ryan White Part A program offers core medical services and essential support services for people who meet the program eligibility requirements.
To be eligible for Ryan White Part A services in the Boston EMA, the following requirements must be met:
Documentation of HIV infection.
Proof that the individual resides in one of the ten counties of the Boston Eligible Metropolitan Area. These counties are – The Boston EMA includes ten counties: Seven in Massachusetts (Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester) and Three in New Hampshire (Hillsborough, Rockingham, and Strafford)
Must have an income ≤ 500% of the most current Federal Poverty Level.
What are the different Services that I can access?
AIDS Drugs Assistance Program
The service funded under this category is the provision of medically prescribed pharmaceuticals used in the prevention, management, and treatment of HIV disease. Services funded under this category are only available for HIV + individuals who have met the eligibility requirements for participation in the Plan and have been enrolled according to standard Plan procedure.
Medical Case Management
This service focuses on improving health outcomes for clients, including viral suppression rates. Activities funded under this category include linkage to and engagement in primary medical care and health-related support services in a manner that ensures timely, coordinated access to appropriate levels of care. Client-centered services support a client's ability to maximize his/her self-sufficiency and independence. Key activities include information and referral; assessment of the client's needs and personal support systems; development of a comprehensive individualized service care plan; coordination of the services required to implement the Plan; client monitoring to assess the efficacy of the Plan; periodic reassessment; and adoption of the Plan. It is expected that medical case management programs will establish and maintain effective linkages with primary care and other service providers and ensure that medical case management services are not being duplicated across providers. Services will also be provided within a harm reduction framework and will include basic risk assessment and risk reduction planning.
Non-Medical Case Management
This service focuses on improving access to care. This includes improved access to both core medical and support services. Activities in this service category typically occur in community-based facilities that are not connected to medical facilities. Client-centered services support a client's ability to maximize his/her self-sufficiency and independence. Key activities include information and referral; assessment of the client's needs and personal support systems; development of a comprehensive individualized service care plan; coordination of the services required to implement the Plan; client monitoring to assess the efficacy of the Plan; periodic reassessment; and adoption of the Plan. Services will also be provided within a harm reduction framework and will include basic risk assessment and risk reduction planning.
Emergency Financial Assistance
Provides limited one-time or short-term payments to assist the RWHAP client with a new need. Emergency financial assistance can occur as a direct payment to an agency or through a voucher program.
Direct cash payments to clients are not permitted. Services include essential utilities, housing, food (including groceries and food vouchers), transportation, and medication.
Food Bank & Home-Delivered Meals
This category includes the provision of actual food or meals. It also includes the provision of personal hygiene products and cleaning supplies. Examples include but are not limited to hot meals, home-delivered food; food banks; nutritional supplements; and the provision of nutrition counseling under the supervision of a registered dietician.
Health Education and Risk Reduction
Health Education/Risk Reduction is the provision of education to clients living with HIV about HIV transmission and how to reduce the risk of HIV transmission. It includes sharing information about medical and psychosocial support services and counseling with clients to improve their health status.
Services funded under this category include the provision of short-term, emergency or transitional rental assistance, and the provision of housing search support. These services also include assessment, search, placement, and advocacy services provided by those who possess extensive knowledge of local, State, and Federal housing programs and how they can be accessed. The goal of this category is to improve a person's access and adherence to medical care and treatment by addressing the barrier of housing instability.
Medical Nutrition Therapy
This category includes the provision of actual food or meals. Eligibility for this service requires certification by a physician and reassessment by a registered dietitian. Services funded under this category are the provision of calorically and nutritionally appropriate prepared food, which may include, but are not limited to: prepared meals; congregate meals; home-delivered food; food banks; nutritional supplements; and the provision of nutrition counseling under the supervision of a registered dietician.
Services funded under this category include, but are not limited to, taxi vouchers and public and private transport services that enable clients to access HIV primary medical care and health-related support services.
Services funded under this category are the recruitment of dentists and preventive diagnostic and therapeutic services rendered by dentists, dental hygienists, and other dental practitioners licensed to provide health care in the State or jurisdiction.
Other Professional Services (Legal)
The goal of Other Professional Services—Legal is to provide clients with access to legal services necessary to improve client health outcomes. It aims to reduce the effects of HIV discrimination; assist with access to and maintenance of medical care; remove barriers to accessing care, treatment, and services. This service allows for the provision of professional and consultant services rendered by members of professions licensed and qualified to offer such services by local governing authorities.
Services funded under this category provide counseling and emotional support to PLWH. In some instances, the person(s) providing the service might be a person infected with HIV and of the client's self-identified community. Such services include group and individual counseling sessions to address topics of stigma, isolation, behavioral health, and coping with an HIV diagnosis. Providers in this category may also work alongside Medical and Non-Medical Case Manager to assist in obtaining a range of services and entitlement that will meet the needs of the client and are provided by licensed or non-licensed, paraprofessional individuals.