About Ryan White Part B and HOPWA Services
The Ryan White Program provides support services to people living with HIV/AIDS. Support services include case management, dental care, direct emergency financial assistance, housing assistance, medication assistance, counseling, substance abuse treatment and transportation assistance.
The Housing Opportunities for Persons with AIDS (HOPWA) Program is the only Federal program dedicated to the housing needs of people living with HIV. Under the HOPWA Program, the U.S. Department of Housing and Urban Development (HUD) makes grants to local communities, states, and nonprofit organizations for projects that benefit low-income persons living with HIV and their families.
Ryan White and HOPWA Administrative Requirements
Payment Documents
Service Definitions and Service Standards
- Service Standards RWB HOPWA 11.22.21 Clarification Update
- Ryan White Part B and HOPWA Service Entry Guidance 100521 Final
Monitoring Information
Staff from the Office of Public Health STD/HIV program will make an annual visit to organizations providing support services for monitoring purposes.
- Monitoring Policies and Procedures (to come)
- Accessing Citrix – M Drive Folder
Case Management Supporting Documents
Ryan White Part B Services
Quick Guide
First Visit Activity
Assessment Paperwork–To be completed during the first meeting with a client.
- Ryan White Part B & HOPWA NMCM Assessment (Spanish)
- Screening Tool (Spanish)
- Scoring Sheet
- Part B Acuity Scale
Client Eligibility Forms–To be completed annually except proof of positivity.
- Eligibility and Requirements Checklist (Spanish)
- Part B Proof of Positivity
- MAGI Worksheet
- Documentation of No Income or Cash Only Income (Spanish)
- Employer Income Verification
- Part B Self Attestation (Spanish)
- Self-attestation proofs can be used to reduce barriers to services, but should not be used two years in a row.
Care Planning
- NMCM Care Plan
- Single Provider Statement
- Sample Client Confidentiality Acknowledgement
- Release of Confidential Information
Reassessment Activity
Reassessment Paperwork–To be completed every 6 months for RWHAP.
Direct Services Only Reassessment–to be used for non case managed clients upon eligibility recertification.
Activity Logs
General Guidance
- Food Bank Allowed Product List 2018
- Part B Sample Request and Consent to Text Message and
- Entering Referral Services in CAREWare
- Entering Acuity Scores in CAREWare
All Services
- Louisiana 30/50/80% Income Levels (Click Here)
- LDH HOPWA Program Manual
- Form A Documentation of No Income or Cash Only Income
- Form B Self-Declaration of Residency
- Form C Household Income Eligibility Worksheet.
- Form D Program Agreement**
- Form E Demographic and Statistical Data
- It is recommended to use the service-specific versions to aid in CAPER data collection.
- Form F Release of Information*
- Habitability– STRMU and PHP may be self-certified by tenant or owner.
- Form G Housing Quality Standards Certification
- Carbon Monoxide (CO) Detection Requirements:
Louisiana Act 458
Sample Landlord Letter– modify to local requirements as applicable
Sample Requirements Checklist– modify to local requirements as applicable
TBRA
- LDH Notification of Revised Rent Standard
- LDH HOPWA FY 24 Rent Standard Limits
- FY 24 Statewide Utility Schedules (Home – Apartment – Duplex)
- Form E Demographic and Statistical Data
- Form H Rent Standard and Rent Reasonableness Certification
- Form I Rental Assistance Worksheet
- Form J Housing Choice Voucher Other Affordable Housing Waiver
- Form M Interim Recertification Worksheet
Violence Against Women Act Requirements
- VAWA Lease Addendum
- Optional VAWA Certification Form
- VAWA Emergency Transfer Plan
- VAWA Notice of Occupancy Rights
STRMU
- Form E Demographic and Statistical Data
- Form K 1 STRMU Tracking Sheet
- Form M Interim Recertification Worksheet
PHP
- PHP Eligible Costs and CO Detection Requirements
- Form E Demographic and Statistical Data
- Form L PHP Intent to Lease Worksheet
Trainings
Quality Management Webinar Series
- Quality Management 101 Module 1- Quality Improvement Overview
- Quality Management 101 Module 2- Quality Program Infrastructure
- Quality Management 101 Module 3- Performance Measurement
- Quality Management 101 Module 4- QI Project Steps and PDSA