HIV

Human immunodeficiency virus (HIV) is a virus that attacks the body's immune system. If it is not treated, it can lead to acquired immunodeficiency syndrome (AIDS).

HIV prevention & care

There is currently no effective cure. After people get HIV, they have it for life. But with proper medical care, HIV can be controlled. People with HIV who get effective HIV treatment can live long, healthy lives and protect their partners.

Prevention

Some examples of HIV prevention interventions currently being deployed include: 

  • HIV counseling, testing and referral (clinical and community settings)
  • HIV partner services/field investigations
  • Condom distribution
  • Pre-exposure prophylaxis

 

Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP)

PrEP is a medication available to HIV negative individuals that, when taken daily, helps reduce the risk of HIV infection. PrEP does not protect against other STD’s and therefore routine screening remains an important element of sexual health.

Post-exposure prophylaxis (PEP): Medication taken after being potentially exposed to HIV to prevent becoming infected. PEP must be started within 72 hours after a recent possible exposure to HIV, but the sooner you start PEP, the better.

 

HIV Care / Ryan White Programs 

The Idaho Ryan White Part B Program (RWPB) provides medical case management (MCM) and medication assistance through the AIDS Drug Assistance Program (ADAP). Clients must meet all requirements in order to qualify for services. Clients are provided with a medical case manager who can provide assistance with accessing needed medical services. All clients are screened for state, federal, and private/commercial insurance benefits including but not limited to Medicaid, Medicare, State health insurance exchange and/or employer provided insurance. 

 

AIDS Drug Assistance Program (ADAP)

Idaho’s AIDS Drug Assistance Program (ADAP) helps people living with HIV or AIDS pay for prescriptions. Idaho’s ADAP formulary is updated as new medications are added and can be found here.

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More information about the Ryan White Program

Eligibility requirements

The eligibility requirements for the Ryan White Part B Medical Case Management, ADAP (AIDS Drug Assistance Program), and HIV Monitoring Lab Service Requirements include the following:

  1. HIV Positive
  2. Idaho Resident
  3. Have income at or below 500% of the Federal Poverty Level (FPL) 
  4. Not insured or underinsured for medications and HIV monitoring labs
  5. Not an inmate of State or Federal Corrections system

If your income is at or below 138% FPL, you may be eligible for Medicaid and should apply through Apply for Medicaid | Idaho Department of Health and Welfare

Family Size

Under 138% FPL

1

$20,120

2

$27,214

3

$34,307

4

$41,400

5

$48,493

6 $55,586
7 $62,680

8

$69,773

     *Medicaid may have additional eligibility requirements such as resource limits.

2023 Poverty Guidelines

Services

Core Medical ServicesThe Ryan White HIV/AIDS Program legislation specifies that the following 13 core medical services are allowable. Grantees must ensure that RWHAP Part B services are provided within the scope of the service category definitions provided by HRSA/HAB. Note: not all core medical services are funded by the Idaho Ryan White Part B program, funded core services are shown in bold.

1. Outpatient and ambulatory health services 
2. AIDS Drug Assistance Program treatments 
3. AIDS pharmaceutical assistance 
4. Oral health care 
5. Early intervention services 
6. Health insurance premium and cost sharing assistance for low-income individuals 
7. Home health care 
8. Medical nutrition therapy 
9. Hospice services 
10. Home and community-based health services 
11. Mental health services
12. Substance abuse outpatient care 
13. Medical case management, including treatment adherence services

Support ServicesThe Ryan White HIV/AIDS Program legislation also provides for allowable support services.  Grantees must ensure that RWHAP Part B services are provided within the scope of the service category definitions provided by HRSA/HAB. Note: not all support services are funded by the Idaho Ryan White Part B program, funded support services are shown in bold.

1. Case management (non-medical) 
2. Childcare services 
3. Emergency financial assistance 
4. Food bank/home-delivered meals 
5. Health education/risk reduction 
6. Housing services 
7. Legal services 
8. Linguistics services (interpretation and translation) 
9. Medical transportation services 
10. Outreach services 
11. Psychosocial support services 
12. Referral for health care/supportive services 
13. Rehabilitation services 
14. Respite care 
15. Substance abuse services—residential
16. Treatment adherence counseling 

Ryan White Consumer Complaint Policy

The Idaho Ryan White Part B Program is committed to assuring that no infringement of a client’s rights occurs at an agency funded by the program, and that there is an established procedure for addressing problems or complaints that clients may have.  Clients participating in HIV medical case management and ADAP have the opportunity to voice their concerns or receive additional assistance if needed.

RWPB Consumer Complaint Policy

Additional resources

EXTERNAL RESOURCES
People at risk for HIV might take daily medicine to prevent HIV. PrEP can stop HIV from spreading throughout the body. HIV.gov describes the use of HIV medication to reduce risk.
EXTERNAL RESOURCES
These Guidelines are for the treatment of persons who have or are at risk for sexually transmitted diseases (STDs).
EXTERNAL RESOURCES
HRSA provides a comprehensive description of the Ryan White funding.
EXTERNAL RESOURCES
Find the closest Social Security office to you by using the Social Security office locator tool on the U.S. Social Security Administration website.
EXTERNAL RESOURCES
Find an up-to-date list of resources and materials from the U.S Social Security Administration that can used to become aware of Social Security scams.
EXTERNAL RESOURCES
A free and secure my Social Security account provides personalized tools for everyone, The account can be used to request a replacement Social Security card, check the status of an application, estimate future benefits, or manage benefits.
Contacts
HIV Prevention
Phone
Ryan White/ADAP
Phone
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