Ryan White Part B - FAQs

Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program Part B and Nevada State General Fund.

Part B of the Ryan White HIV/AIDS Treatment Modernization Act provides grants to all 50 States, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and 5 U.S. Pacific Territories or Associated Jurisdictions. 

Click here for additional information on the Part B Ryan White HIV/AIDS Treatment Modernization Act. 

The eligibility screening process will qualify clients for available Ryan White services. There are multiple locations for statewide access to the eligibility screening process, found here.  

Clients are placed in

 the medication program that is most appropriate for their circumstances and in keeping with the cost-effectiveness of the plan.

Eligibility criteria for the Ryan White Programs (A,B,C,D) are determined on a state-by-state basis according to the federal guidelines. Anyone moving to Nevada from another state will need to re-apply for Ryan White Programs, and benefits are administered under Ryan White Part B policies of Nevada. The statewide eligibility criteria are reviewed periodically to determine if the program has been successful in providing medication and other medical services to low-income HIV+ and AIDS patients. 

Current eligibility criteria include, but are not limited to:  

• Client income must not exceed 400% of Federal poverty Guidelines (FPG) at approximately $47,080/year. 
• Client may have one single-family, owner-occupied home and one car (two cars if married.) 
• Additional liquid assets of the client may not exceed $10,000. 
• Confirmed diagnosis of HIV/AIDS & documented laboratory tests for T-Cell counts and viral load must be done every six months. 
• Recertification, including ADAP, must be done every six months. 
• Applicant must be a Nevada resident with two forms of government issued identification. 
• Retirement accounts that currently do not provide income unless the applicant is over 59.5 years of age are not included in assets.   

Ryan White Part B/ADAP Eligibility Forms and Information  

•  Current eligibility forms can be found on EndHIVNevada.org.    

An AIDS Drug Assistance Program (ADAP) is a State/Territory-administered program authorized under Part B of the Ryan White HIV/AIDS Program (RWHAP) that provides FDA-approved medications to low-income individuals with HIV disease who have limited or no coverage from private insurance, Medi-caid, or Medicare. ADAP offers services such as: Health Insurance Assistance Services, Direct Medication Assistance Services, and Tax Preparation Services.  

Health Insurance to Provide Medications (HIP-Rx) is the provision of financial assistance for eligible individuals living with HIV to maintain continuity of health insurance or to receive medical and prescription benefits under a health insurance plan. This includes:

• Purchasing health insurance that provides comprehensive primary care and pharmacy benefits for low income clients that provide a full range of HIV medications;
• Paying prescription drug co-pays and deductibles on behalf of the client and;
• Providing funds to contribute to a client’s Medicare Part D True Out-Of-Pocket (TrOOP) costs.

   If an applicant is not eligible for a health insurance plan (a private individual plan, a Marketplace plan, an employer plan, or a COBRA plan) or public health insurance option (Medicare, Medicaid, VA, HIS, etc.) then ADAP will cover the full cost of any medication that is on the Nevada ADAP Formulary. Funding allocated to Nevada ADAP provides an approved formulary of medications to people living with HIV/AIDS (PLWH) for the treatment of HIV disease or the prevention of opportunistic infections.

The HIV/AIDS Medical Advisory Committee (MAC) reviews new and existing medications to be included or deleted from the ADAP formulary. Consumers are welcome to submit a request for the addition of a specific medication or medications, and the recommendation will be discussed at the following MAC meeting. Recommended medications must be those which improve PLWH overall health. Please see here to submit your request.

Nevada currently has universal eligibility for the enrollment of services meaning there is only one enrollment process for all services. Before you enroll in the AIDS Drug Assistance Program (ADAP), you must first meet the requirements for the Nevada Ryan White Services. Once eligible for Ryan White Services, your enrollment coordinator can refer you to ADAP services. Once this referral is received, applications are processed within 14 business days. If you have less than seven days of medication, you may receive an emergency referral that is processed within 48 hours.

Child care services are the provision of care for the children of clients who are HIV-positive while the clients attend medical or other appointments or Ryan White Program-related meetings, groups, or training.

(NOTE: This does not include child care while a client is at work.)