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About Us

HIV case management agencies are located throughout Ohio, providing services to every county in the state. Case managers who are trained to help people living with HIV can help find the medical treatment and programs they need. A case manager who is familiar with the community can help find doctors, housing, support groups, or transportation for people who need these services. There is no fee for their help. A case manager can also determine eligibility for Ryan White financial assistance and Ohio's HIV drug assistance program. Case managers must be licensed social workers and adhere to the Ryan White Part B Service Standards. 

Resources for Consumers

Find a Case Manager

Ohio HIV/STI Service Regions
Ryan White Part B Case Management Agencies

Ryan White Financial Assistance

The purpose of the Ryan White financial assistance program is to assist individuals who are HIV positive and have a need that is HIV-related. The program is one of last resort, meaning the program may cover HIV-related costs not otherwise covered by insurance or other community resources. Services include medical and dental care, mental health, transportation, and support services.

In order to receive assistance, an individual must have an HIV medical case manager from a Ryan White Part B case management agency. The Ryan White Part B case management agency that serves the county in which the client resides will assess the client's needs, identify alternative resources, and look at long-term solutions before deciding if Ryan White financial assistance is appropriate.

To be eligible for Ryan White financial assistance, an individual must be an Ohio resident, have proof of HIV status, and have an income at or below 500 percent of the federal poverty level.

The following list contains some of the services NOT covered by Ryan White financial assistance:

  • Emergency room visits, urgent care
  • Outpatient surgery
  • Hospitalizations
  • Ambulances
  • Doctor's visits while in the hospital
  • Eye glasses, except when cytomegalovirus-related
  • Hearing aids, except when HIV-related
  • Household items such as stoves, refrigerators, beds
  • Rental furniture
  • Clothing
  • Pet food or products
  • Car repairs or maintenance
  • Car payments
  • Auto insurance
  • Property taxes
  • Tuition expenses or employment readiness services
  • Syringe exchange programs
  • Long distance programs (unless medically necessary)
  • Add-on phone services (call waiting, call forwarding, voice mail, cellular phones, caller ID, etc.)
  • Spend down for Medicaid
  • Anything covered by Medicaid
  • Anything not HIV-related
  • Anything not emergency based

Ryan White Part B Fee Schedule and ADAP Formulary

The Ohio ADAP formulary is an open formulary with some specific and class exclusions. For a list of exclusions, click here.

Providers who are Ryan White Part B providers in Ohio agree to accept the set reimbursement rate of services, per the fee schedule. Additionally, only services found in the fee schedule are covered by Ohio’s Ryan White Part B program. Insurance and any other potential payor sources must be billed before the Ryan White program will pay for services. To view the fee schedule for Outpatient/Ambulatory Health Services, Mental Health, and Oral Health, click the appropriate link below.

Outpatient/Ambulatory Health Services
Mental Health Services
Oral Health Services

Resources for Case Managers

Case Management Forms

Anxiety Screen (GAD-7)
Client Case Closure Form
Client Intake Form - fillable
Depression Screen (PHQ-9)
Expectations of Care
Individualized Service Plan (ISP) - fillable
Non-medical Case Management Screening Form
Psychosocial Assessment (PSA) - with appendices
Psychosocial Assessment (PSA) - fillable
Substance Abuse Screen (DAST-20)
Supervision Log
Transportation Assistance Voucher

OHDAP Application and Forms

OHDAP Client Outcome Measures
OHDAP Full Application
OHDAP HIPAA Release
OHDAP Program Release
OHDAP Verification of Income

Exception Forms

2020 Ryan White Part B Pre-Authorization Request
2020 OHDAP Rx Exception Request
2020 Ryan White Part B Special Processing Exception

COVID-19 Guidance and Forms

Ryan White Case Management COVID-19 Guidance
Ryan White Part B Client Income Attestation
Ryan White Part B Client Health Insurance Attestation
Ryan White Part B Client Residency Attestation 

Providers

Find a Case Management Agency

Ohio HIV/STI Service Regions
Ryan White Part B Case Management Agencies

Ryan White Part B Fee Schedule and ADAP Formulary

The Ohio ADAP formulary is an open formulary with some specific and class exclusions. For a list of exclusions, click here.

Providers who are Ryan White Part B providers in Ohio agree to accept the set reimbursement rate of services, per the fee schedule. Additionally, only services found in the fee schedule are covered by Ohio’s Ryan White Part B program. Insurance and any other potential payor sources must be billed before the Ryan White program will pay for services. To view the fee schedule for Outpatient/Ambulatory Health Services, Mental Health, and Oral Health, click the appropriate link below.

Outpatient/Ambulatory Health Services
Mental Health Services
Oral Health Services

Become a Ryan White Part B Provider

The Ryan White Part B program engages community medical care, mental health, and oral health providers in order to increase access to core services for people living with HIV. By becoming a Ryan White Part B provider, you will be helping to improve the quality and accessibility of health care for people living with HIV in Ohio.

If you are interested in learning more about becoming a Ryan White Part B provider, please contact us.

Prevention Assistance Program Interventions (PAPI)

PAPI is ODH’s PrEP assistance program. ODH is currently enrolling PAPI providers into the system. Providers include both pharmacies and medical providers. Medical providers can either provide PrEP care based on ODH HIV Prevention’s fee schedule and be reimbursed for services (full-care provider) or they can be co-pay providers where the state pays the client’s co-pays associated with PrEP care.

To become a PAPI provider, complete the Provider Request and email it to PAPI@odh.ohio.gov. For more detailed information about PAPI, click here.

COVID-19 Resources

Ohio Department of Health (ODH) Resources

For the most up-to-date information in Ohio, visit coronavirus.ohio.gov, or call 1-833-4-ASK-ODH 7 days a week from 9:00am to 8:00pm.

FAQs: COVID-19 and HIV 

Centers for Disease Control and Prevention (CDC)

COVID-19 Hub
What to Know About HIV and COVID-19
Reducing stigma related to COVID-19
Stop the Spread of Rumors: Know the facts about coronavirus disease 2019
CDC “Dear Colleague Letter” about HIV and COVID-19

National Institutes of Health (NIH)

Interim Guidance for COVID-19 and Persons with HIV

The HIV Medicine Association (hivma)

COVID-19: Special Considerations for People with HIV

The Fenway Institute

Coronavirus, COVID-19, and Considerations for People Living with HIV and LGBTQIA+ People

Mental Health Resources

National Alliance on Mental Illness (NAMI): Coronavirus: Mental Health Coping Strategies

Substance Abuse and Mental Health Services Administration (SAMHSA): Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak