Virginia Ryan White Part B

The Virginia Ryan White HIV/AIDS Program Part B (RWHAP B) is administered through the Virginia Department of Health (VDH), Office of Epidemiology, Division of Disease Prevention. The program works in partnership with local health departments, community-based organizations, and medical providers.

RWHAP B funds are used to expand access to HIV-related medical care, medications, and essential support services for low-income individuals who are uninsured or underinsured. Providers contracted under the program are responsible for ensuring services meet federal and state standards of care, comply with reporting requirements, and align with HCS Quality Management expectations.

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VA MAP (called ADAP in other areas) provides access to medications for the treatment of HIV and related illnesses for low-income clients

VA MAP's authorized partner, Benalytics, who helps eligible clients enroll for insurance coverage

Virginia Ryan White Part B Unified Eligibility

The Virginia Ryan White HIV/AIDS Program Part B (RWHAP B) implemented Unified Eligibility (UE) that will have clients conduct eligibility every 24 months for all RWHAP B services, including ADAP services coordinated through VA MAP. This is a major policy and procedure shift for RWHAP B client eligibility as this removes the 6-month recertification requirement and changes client eligibility to a 24-month period. Clients and providers no longer have to do four eligibility assessments per year! Agencies not contracted with the Virginia RWHAP B program are not able to conduct these client assessments at this time but can make referrals to the agencies that can.

Điểm nổi bật của chính sách

    • This policy replaces any prior policies and guidance regarding Virginia’s RWHAP B and VA MAP client eligibility processes.

    • Virginia RWHAP B clients will need to verify their eligibility status every 24 months.  The new process does not require 6-month recertifications. These changes align with the requirements and flexibilities in HRSA’s PCN #21-02.

    • VDH requires RWHAP B-contracted agencies to conduct period checks called Client Access Reviews (CARs) for anything that potentially changes the client’s eligibility for services. Subrecipients will need to document CARs and upload any changes discovered that affect client eligibility into Provide® within 7 days.

    • Virginia RWHAP B-contracted agencies will conduct all client eligibility assessments for all RWHAP B services, including ADAP.

    • Virginia RWHAP B-contracted agencies will use the state’s client-level data system called Provide Enterprise®. These contracted agencies must create client records and upload supportive documentation that supports each eligibility criterion which remains the same for VA RWHAP B. At this time, if agencies are not a Virginia RWHAP B-contracted agency, then they will not have access to Virginia RWHAP B's Provide Enterprise® system. Virginia will explore this possibility with the system’s vendor for future integration.

    • Eligibility criteria includes:
      • Proof for Virginia residency;
      • Household income at or below 500% of FPL;
      • Insurance coverage status for services requested to help ensure RWHAP is payer of last resort; and
      • One-time proof of a diagnosis with HIV disease documented.

    • VA MAP no longer processes eligibility assessments for medication access. Through UE, VA MAP will be reviewing eligibility assessments to determine the appropriate VA MAP service option for a client to access their medication. Eligibility for medication access will be determined through the eligibility assessments conducted by a Virginia RWHAP B-contracted agency.

Unified Eligibility Documents

Đánh giá đủ điều kiện thống nhất

Agencies not contracted with Virginia RWHAP B to provide services cannot conduct unified eligibility assessments at this time. If an agency provides services from other RWHAPs A, C, and/or D and does not contract with Virginia RWHAP B, then the agency must refer clients to these Virginia RWHAP B-contracted agencies to conduct eligibility assessments for any Part B services, including ADAP. Clients can also contact any of the contracted agencies of their choice to complete their eligibility assessment for Part B services. Anyone can access a list of these contracted agencies by going to the VDH Resource Connection website.

Clients conduct eligibility every 24 months for all Ryan White HIV/AIDS Part B (RWHAP B) services.  This includes ADAP services coordinated through VA MAP.  Agencies that subcontract with VDH for RWHAP B services are currently the only agencies who can perform these assessments for clients.  Navigate to the Find an Agency tab to find an agency that can perform assessments.

Navigate to the Provide® Enterprise tab if you have questions about entering Unified Eligibility Assessments.

What services are covered under Ryan White Part B?

Part B covers medications, core medical services, and support services.  Each state or territory funded for Ryan White Part B decides which services to offer based on their needs assessment and available funding.

All organizations funded by Ryan White Part B must help eligible clients find health care coverage.

Core medical services allowable under RWHAPB include:

    • Outpatient / ambulatory health services
    • Health insurance premium & cost-sharing assistance for low-income individuals
    • Oral healthcare
    • Substance abuse service (outpatient)

Support services allowable under RWHAPB include:

    • Substance use disorder services (residential)
    • Psychosocial support services
    • Food bank/home delivered meals
    • Emergency financial assistance
    • Health education/risk reduction
    • Nhà Ở
    • Childcare services
    • Rehabilitation services
    • Other professional services (legal services, permanency placing)

Virginia funds only these RWHAPB services:

    • Outpatient/ambulatory healthcare
    • AIDS Drug Assistance Program
    • Medical case management, including treatment-adherence services
    • Oral healthcare*
    • Non-medical case management
    • Medical transportation*
    • Outreach*
    • Psychosocial support services (for conducting client unified eligibility assessments [UEAs] only)

*These services are available in limited areas.

The AIDS Drug Assistance Program (ADAP) provides U.S. Food and Drug Administration (FDA)-approved medications for the treatment of HIV and related illnesses to low income clients with HIV disease who have no or limited health care coverage. ADAPs may use program funds to pay for health insurance premiums or medication co-payments for eligible clients.  To be eligible for ADAP, clients must be living with HIV and meet income and other eligibility criteria as established by the state.  Virginia’s ADAP program is called the Virginia Medication Assistance Program or VA MAP.

Medical Case Management, including Treatment Adherence Services, provides a range of client-centered activities focused on improving health outcomes along the HIV care continuum.  Activities provided under this service category may be provided by an interdisciplinary team that includes other specialty care providers. Medical Case Management includes all types of case management encounters (e.g., face-to-face, phone contact, and any other forms of communication). Key activities include:  initial assessment of service needs, development of a comprehensive, individualized care plan, timely and coordinated access to medically appropriate levels of health and support services and continuity of care, continuous client monitoring to assess the care plan, re-evaluation of the care plan at least every 6 months, ongoing assessment of the client’s and other key family members’ needs and personal support systems, treatment adherence counseling to ensure readiness for and adherence to complex HIV treatment, and client-specific advocacy and/or review of utilization of services.  In addition, Medical Case Management may also provide benefits counseling by assisting eligible clients to access other public and private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient Assistance Programs, other state or local health care and supportive services, and insurance plans through the health insurance Marketplaces/Exchanges).  Medical Case Management services have as their objective improving health care outcomes.

Oral Health Care services provide outpatient diagnostic, preventive, and therapeutic services by dental health care professionals, including general dental practitioners, dental specialists, dental hygienists, and licensed dental assistants.

Non-Medical Case Management Services (NMCM) provide guidance and assistance in accessing medical, social, community, legal, financial, and other needed services. Non-Medical Case management services may also include assisting eligible clients to obtain access to other public and private programs for which they may be eligible, such as Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient Assistance Programs, other state or local health care and supportive services, or health insurance Marketplace plans. This service category includes several methods of communication including face-to-face, phone contact, and any other forms of communication deemed appropriate by the RWHAP Part recipient.  NMCM Services have as their objective providing coordination, guidance and assistance in improving access to and retention in needed medical and support services to mitigate and eliminate barriers to HIV care services.

Medical Transportation is the provision of nonemergency transportation services that enables an eligible client to access or be retained in core medical and support services.

Psychosocial Support Services provide group or individual support and counseling services to assist HRSA RWHAP-eligible PLWH to address behavioral and physical health concerns.  In Virginia, this service only covers Unified Eligibility Assessments (UEAs) to determine client eligibility for RWHAPB services.

Virginia RWHAP B Standards, Policies, and Forms

Mục đích của Tiêu chuẩn quản lý trường hợp Phần B của RWHAP Virginia là:

  • Đặt ra mức tối thiểu cho chất lượng dịch vụ Quản lý trường hợp;
  • Cung cấp nguồn lực cho các nhà quản lý trường hợp sử dụng để cải thiện chất lượng dịch vụ cung cấp cho PWH; và
  • Hỗ trợ các nỗ lực của VDH nhằm đảm bảo tiêu chuẩn Quản lý trường hợp nhất quán bất kể khách hàng sống ở đâu hay gặp phải vấn đề gì.

Click on a link below to download or review the RW Part B Case Management Standards (includes Medical and Non-Medical):

Quality Management & Improvement Programs

The Ryan White HIV/AIDS Program (RWHAP) Part B Clinical Quality Management Program (CQM) exists to ensure the highest quality core medical care and supportive services for people with HIV in Virginia, as well as to provide medication access to them through statewide leadership and stakeholder collaboration.

The aim of the RWHAP Part B CQM program is to continuously improve the quality of HIV care and services, in compliance with the Department of Health and Human Services Guidelines, HRSA Monitoring Standards, RWHAP Part B, national priorities, and research-based best practices.

Ủy ban tư vấn quản lý chất lượng (QMAC)

Sổ tay hướng dẫn QMAC | Slide Hội thảo QMAC

QMAC Quarterly Meetings

Tháng 2 4, 2026 | Tháng 5 13, 2026 | Tháng Tám 19, 2026 | Ngày 4 tháng 11, năm 2026 | Tháng 2 10, 2027

Bản tin QMAC

Mùa xuân 2026 | Mùa thu 2025 | Mùa xuân 2025

Hệ thống dữ liệu cho dữ liệu chăm sóc và phòng ngừa HIV của DDP

VDH uses one data system for HIV Care and Prevention data collection and reporting called Virginia Provide® Enterprise (VA Provide®). This system replaced most data entry into the REDCap data system and has enhanced features including cross-site referral capabilities and important federal reporting functions. VA Provide® is software that must be installed on each individual user’s computer. Please see the “Provide® Enterprise Software Installation Instructions” under the “User Manuals” section of this page for instructions on how to gain access to VA Provide®.

Training resources for the VA Provide® Data System can be found below.

Vendor-recorded trainings for each module within VA Provide® can be found here:

Trainings Schedule

Ngày và giờ

Đề tài

Chi tiết
Friday, January 16, 2026 at 11AM Entering Service Units We will walk through entering service units for a client and how to resolve common service unit entry issues. We will tie service data entry to the RSR.
Friday, April 17, 2026 at 11AM Đánh giá đủ điều kiện thống nhất We will walk through entering an eligibility assessment and how to fix any errors found during an audit.
Friday, July 17, 2026 at 11AM Tips and Tricks for Navigating in Provide We will run through some shortcuts and different ways to get your information out of the system.
Friday, October 16, 2026 at 11AM Pulling the RSR We will walk through how to pull your RSR, look at the client level data file, and fix any issues with your data.

Câu hỏi thường gặp (FAQs)

For clients or prospective clients needing to undergo an initial or routine unified eligibility assessment, please find a list of locations below that can perform assessments. For more information, anyone can access a list of these contracted agencies by going to the VDH Resource Connection website or the VDH Virginia Ryan White Resources page.

Part B Agencies Listed by Location

Petersburg, Virginia

Sự thanh thản

114 N. Union Street, Petersburg, VA 23803

804-861-9977

 

Richmond, Virginia

Dịch vụ chăm sóc sức khỏe hàng ngày của Planet

517 Đường W. Grace, Richmond, VA 23220

804-783-2505, phần mở rộng. 1424

 

Đội Y tế

1010 Đường N. Thompson, Richmond, VA 23230

804-358-6343

 

Hiệp hội Y tế Thiểu số

208 Đường E. Clay, #B, Richmond, VA 23219

804-225-0820

 

Quỹ Nationz

1603 Đường Santa Rosa, Richmond, VA 23229

804-716-7597