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    DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

HIV Core and Support Service Categories

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The service categories below are fundable though Ryan White Program Part B, DSHS State Services and HOPWA formula funds awarded to the State only. It may not reflect fully services fundable through other Ryan White Program Parts, direct HOPWA or other funding source. Certain services listed in Section 2 and all services listed in Section 3 are fundable only through DSHS State Service funds.

Each service at the subcategory level will allow entry of a total cost amount that is the result of the agency’s unit cost calculation outside the AIDS Regional Information and Evaluation System (ARIES) data system.

The service categories are subject to revision as new information and guidance is received from the Health Resources and Services Administration (HRSA).

Section 1. Core Medical Services
Section 2. Support Services
Section 3. Support Services (State Services Funds Only)
Section 4. Health Insurance Program (HIP)
Section 5. HOPWA

 

Section 1. Core Medical Services
Service Category Subcategories ARIES Service Units

Early Intervention Services (Parts A and B)
Early Intervention Services (EIS) includes identification of individuals at points of entry and access to services with the provision of:

  • HIV Testing and Targeted counseling
  • Referral services
  • Linkage to care
  • Health education and literacy training that enable clients to navigate the HIV system of care

Early Intervention Services Standards of Care
Early Intervention Services Monitoring Tool (Word : 51 kb)

Early Intervention Service Per encounter with client previously unlinked to care
Health Insurance Premium and Cost Sharing Assistance
The provision of financial assistance for eligible individuals living with HIV to maintain a continuity of health insurance or to receive medical benefits under a health insurance program. This includes premium payments, co-payments and deductibles.
All health insurance payments should be reported in ARIES under the CARE/HIPP or SS/HIPP Programs. See Section 3.

Home and Community-Based Health Services
Home and Community-Based Health Services is defined as skilled health services furnished in the home of an HIV-infected individual, based on a written plan of care prepared by a case management team that includes appropriate health care professionals. This definition also includes non-medical, non-nursing assistance with cooking and cleaning activities to help clients with disabilities remain in their homes.

Home and Community-Based Health Services Standards of Care
Home and Community-Based Health Services Monitoring Tool (Word : 51 kb)

Professional Per visit
Professional Per visit
Durable Medical Conditions Per unit

Home Health Care
Home Health Care is defined as support provided in the patient’s home by licensed health care workers such as nurses.

Home Health Care Standards of Care
Home Health Care Monitoring Tool (Word : 48 kb)

Home Health Care Per visit

Hospice Services
Provision of Hospice Care provided by licensed hospice care providers to clients in the terminal stages of illness, in a home or other residential setting, including a non-acute-care section of a hospital that has been designated and staffed to provide hospice care for terminal patients.

Hospice Standards of Care
Hospice Care Monitoring Tool (Word : 45 kb)

Hospice Care – Facility-based Per day
Hospice Care – Facility-based Per day

Local AIDS Pharmaceutical Assistance (LPAP)
The purpose of a Local AIDS Pharmaceutical Assistance Program (LPAP) is to provide therapeutics to treat HIV/AIDS or to prevent the serious deterioration of health arising from HIV/AIDS in eligible individuals, including measures for prevention and treatment of opportunistic infections. An LPAP is a program to ensure that clients receive medications when other means to procure medications are unavailable or insufficient. As such, LPAPs are meant to serve as an ongoing means of providing medications for a period of time.

LPAP Standards of Care
LPAP Monitoring Tool (Word : 45 kb)

Local Drug Reimbursement Per prescription (not pill or dose)

Medical Case Management
Medical Case Management (MCM) is a proactive case management category intended to serve persons living with HIV with multiple complex health-related needs that focuses on maintaining HIV-infected persons in systems of primary medical care to improve HIV-related health outcomes.

Case Management Standards (PDF : 973 kb)
Case Management Monitoring Tool (Word : 99 kb)
Case Management Frequently Asked Questions

Medical Case Management Per 15 minutes

Medical Nutritional Therapy
Support for Medical Nutrition Therapy (MNT) services including nutritional supplements provided outside of a primary care visit by a licensed Registered Dietitian; may include food provided pursuant to a physician’s recommendation and based on a nutritional plan developed by a licensed Registered Dietitian.

Medical Nutrition Therapy Standards of Care
Medical Nutrition Therapy Monitoring Tool (Word : 48 kb)

Medical Nutrition Therapy - Counseling Per 15 minutes
Medical Nutrition Therapy - Supplements[1] Per transaction

Mental Health Services
Mental Health Services include psychological and psychiatric treatment and counseling services offered to individuals with a diagnosed mental illness, conducted in a group or individual setting, based on a detailed treatment plan, and provided by a mental health professional licensed or authorized within the State to provide such services, typically including psychiatrists, psychologists, and licensed clinical social workers.

Mental Health Services Standards of Care
Mental Health Services Monitoring Tool (Word : 32 kb)
Mental Health Services Frequently Asked Questions

Mental Health Services – Individual Per visit
Mental Health Services - Group Per visit
Mental Health Services – Psychiatric Evaluation Per visit
Mental Health Services – Psychiatric Follow-up Per visit

Oral Health Care
Support for Oral Health Services including diagnostic, preventive, and therapeutic dental care that is in compliance with dental practice laws, includes evidence-based clinical decisions that are informed by the American Dental Association Dental Practice Parameters, is based on an oral health treatment plan, adheres to specified service caps, and is provided by licensed and certified dental professionals.

Oral Health Care Standards of Care
Oral Health Care Monitoring Tool (Word : 46 kb)

Oral Health Care - Routine Treatment Per visit
Oral Health Care - Prophylaxis Per visit
Oral Health Care - Specialty Per visit

Outpatient/Ambulatory Medical Care
Outpatient/Ambulatory medical care (health services) is the provision of professional diagnostic and therapeutic services rendered by a physician, physician’s assistant, clinical nurse specialist, or nurse practitioner in an outpatient setting. Settings include clinics, medical offices, and mobile vans where patients generally do not stay overnight.

Outpatient/Ambulatory Medical Care Standards of Care
Outpatient/Ambulatory Medical Care Monitoring Tool (Word : 114 kb)
Outpatient/Ambulatory Medical Care Frequently Asked Questions

Outpatient / Ambulatory Medical Care Per visit
Dermatology Per visit
Infectious Disease Per visit
Neurology Per visit
Ob/Gyn Per visit
Oncology Per visit
Ophthalmology Per visit
Other Specialty Per visit
Radiology Per visit
Laboratory - Service (and test except CD4 and VRLD) Per test
CD-4 T-Cell Count Per test
Viral Load Test Per test

Substance Use Disorder - Outpatient
Support for Substance Use Disorder Treatment Services-Outpatient, provided by or under the supervision of a physician or other qualified/licensed personnel; may include use of funds to expand HIV-specific capacity of programs if timely access to treatment and counseling is not otherwise available.

Substance Use Disorder Standards of Care
Substance Use Disorder Monitoring Tool (Word : 50 kb)

Substance Abuse Services –Outpatient-Individual Counseling Per visit
Substance Abuse Services-Outpatient-Group Counseling Per visit
Substance Abuse – Intake
Includes but not limited to intake into methadone or other medication-assisted treatment. May include substance abuse assessments (SASSI) by appropriately qualified personnel, although technically, a person is not in outpatient or any form of treatment at the time of the assessment.
Per visit
Medication-Assisted Detox
Includes medications such as Methadone, Subut (buprenorphine hydrochloride) and Suboxone (buprenorphine hydrochloride and naloxone hydrochloride), ORLAAM, etc.
Per visit
Substance Abuse Medication Maintenance Per visit

 

Section 2. Support Services
Some services listed here may not be funded with Ryan White Part B funds.
Service Category Subcategories ARIES Service Units

Child Care Services
The provision of care for the children of clients who are HIV-positive while the clients attend medical or other appointments or Ryan White HIV/AIDS Program-related meetings, groups, or trainings.[2]

Child Care Services[3] Per hour

Emergency Financial Assistance (EFA)
Support for Emergency Financial Assistance (EFA) for essential services including utilities, housing, food (including groceries and food vouchers), or prescriptions provided to clients with limited frequency and for a limited period of time. The intent of these funds are to support a client for a short duration.

EFA Standards
EFA Monitoring Tool (Word : 43 kb)

Emergency Assistance - Prescription Per prescription
Emergency Assistance – Utilities Per transaction
Emergency Assistance – Food Per visit

Food Bank / Home-Delivered Meals
Funding for Food Bank/Home Delivered Meals may include:

  • The provision of actual food items
  • Provision of hot meals
  • A voucher program to purchase food

Food Bank/Home Delivered Meals Standards
Food Bank/Home Delivered Meals Monitoring Tool (Word : 35 kb)
Food Bank/Home Delivered Meals Frequently Asked Questions

Food Pantry/Voucher Visit Without Nutritional Supplements Per visit
Food Pantry/Voucher Visit with Nutritional Supplements[4] Per visit
Meals - Home-Delivered Per person per meal
Meals - Congregate Per person per meal

Health Education / Risk Reduction (HE/RR)
The provision of information; including information dissemination about medical and psychosocial support services and counseling to help clients with HIV improve their health status.

HE/RR Standards
HE/RR Monitoring Tool (Word : 43 kb)

HE/RR - Prevention Case Management for HIV positives – Individual Intervention Per 15 minutes
HE/RR – Group-level Intervention Per 15 minutes

Housing Services
The provision of short-term assistance to support emergency, temporary or transitional housing to enable an individual or family to gain or maintain medical care. Housing related referral services included assessment, search, placement, advocacy, and the fees associated with them. Eligible housing can include both housing that does not provide direct medical or supportive services and housing that provides some type of medical or supportive services such as residential mental health services, foster care, or assisted living residential services.

Effective March 27, 2008 there is a 24 month cumulative period of eligibility per household for housing services provided by Ryan White funds.
HRSA HAB Policy 99-02

Housing Assistance– Short-Term
Housing assistance is limited to short-term assistance to support temporary and/or transitional housing to enable the individual or family to gain and/or maintain medical care. Use of Ryan White Program funds for short-term or emergency housing must be linked to medical and/or healthcare or be certified as essential to a client’s ability to gain or maintain access to HIV-related medical care or treatment.

Per day

Housing Assistance – Emergency
Housing assistance is limited to emergency financial assistance to support temporary and/or transitional housing to enable the individual or family to gain and/or maintain medical care. Use of Ryan White Program funds for short-term or emergency housing must be linked to medical and/or healthcare or be certified as essential to a client’s ability to gain or maintain access to HIV-related medical care or treatment.

Per day

Housing Referral/Housing Related Services –
Housing related services include assessment, search, placement, and advocacy services provided by professionals who possess an extensive knowledge of local, State and Federal housing programs and how they can be accessed.

Per 15 minutes

Legal Services
Legal Services is provided to for an HIV-infected person to address legal matters directly necessitated by the individual’s HIV status.

Legal Services Standards
Legal Services Monitoring Tool (Word : 46 kb)

Legal Services Per hour

Linguistic Services
Support for Linguistic Services includes interpretation (oral) and translation (written) services, provided by qualified individuals as a component of HIV service delivery between the provider and the client, when such services are necessary to facilitate communication between the provider and client and/or support delivery of Ryan White-eligible services.

Linguistic Services Standards
Linguistic Services Monitoring Tool (Word : 35 kb)

Translation/Interpretation - Interpersonal Per 15 minutes
Translation/Interpretation - Document Per transaction

Medical Transportation Services
Medical Transportation Services enable an eligible individual to access HIV-related health and support services, including services needed to maintain the client in HIV medical care, either through direct transportation services, vouchers, or tokens.

Medical Transportation Services Standards
Medical Transportation Services Monitoring Tool (Word : 35 kb)
Medical Transportation Services Frequently Asked Questions

Medical Transportation Services Per one way trip

Non-Medical Case Management
Non-Medical Case Management (N-MCM) model is responsive to the immediate needs of a person living with HIV and includes the provision of advice and assistance in obtaining medical, social, community, legal, financial, entitlements, housing, and other needed services.

Case Management Standards (PDF : 973 kb)
Case Management Monitoring Tool (Word : 99 kb)
Case Management Frequently Asked Questions

Case Management – Non Medical Per 15 minutes

Outreach Services
Support for Outreach Services is designed to identify individuals who do not know their HIV status and/or individuals who know their status and are not in care and help them to learn their status and enter care.

Outreach Services Standards
Outreach Services Monitoring Tool (Word : 28 kb)

Outreach Services (Outreach for linkage to services) Per encounter with client previously unlinked to care

Psychosocial Support Services
Support for Psychosocial Support Services that may include:

  • Support and counseling services
  • Child abuse and neglect counseling
  • HIV support groups
  • Pastoral Care/counseling
  • Caregiver support
  • Bereavement counseling
  • Nutrition counseling provided by a non-registered dietitian

Psychosocial Support Services Standards
Psychosocial Support Services Monitoring Tool (Word : 33 kb)

Other Counseling – Individual Per 15 minutes
Other Counseling - Support Group Per 15 minutes
Other Counseling - Nutritional[5] Per 15 minutes

Referral For Health Care/Support Services
Direct a client to a service in person or through telephone, written, or other types of communication, including management of such services where they are not provided as part of Ambulatory Outpatient Medical Care or Case Management Services.

Referral for Health Care Supportive Services Standards
Referral for Health Care Supportive Services Monitoring Tool (Word : 29 kb)

Referral to health care/supportive services Per referral
Rehabilitation Services
Includes services provided by a licensed or authorized professional in accordance with an individualized plan of care intended to improve or maintain a client’s quality of life and optimal capacity for self-care. Services include physical and occupational therapy, speech pathology, and low-vision training.
Rehabilitative Services – Physical Therapy Per visit
Rehabilitative Services – Occupational Therapy Per visit
Rehabilitative Services – Speech Therapy Per visit
Rehabilitative Services – Low vision training services Per visit
Respite Care
The provision of community or home-based, non-medical assistance designed to relieve the primary caregiver responsible for providing day-to-day care of a client with HIV/AIDS
Day Care – Infected Child (<13) Per hour
Day Care – Infected Adult Per hour
Respite Care
Sporadic relief of the caregiver of any aged, infected client.
Per hour

Substance Abuse Services – Residential
Funding to address substance use disorder (including alcohol and/or legal and illegal drugs) in a short-term residential health service setting.

Substance Use Disorder - Residential Standards
Substance Use Disorder - Residential Monitoring Tool (Word : 35 kb)

Substance Abuse Services – Residential - Detox Per day
Substance Abuse Services – Residential - Treatment Per day
Treatment Adherence Counseling (Non Medical)
Treatment adherence counseling is the provision of counseling or special programs to ensure readiness for, and adherence to, complex HIV/AIDS treatments by non-medical personnel outside of the medical case management and clinical settings.
Treatment Adherence Counseling Per 15 minutes

 

Section 3. Support Services (State Services Funds Only)
These services may not be funded with Ryan White Part B funds.
Service Category Subcategories ARIES Service Units
Other Services
Activities not associated with current HRSA Service Categories to be provided under this service category. Activities must be approved by DSHS prior to allocating State Service funds.
Must be established with DSHS Must be established with DSHS

 

Section 4. Health Insurance Programs (HIP)
Health insurance payments made with Ryan White CARE Act funds should be reported under the CARE/HIPP; health insurance payments made with State Services funds should be reported under the State Services - Insurance.
Service Category CARE/HIPP & State Services Insurance ARIES Service Units
Outpatient / Ambulatory Medical Care
Co-payments for Outpatient / Ambulatory Medical Care Services when a client has private insurance.
Ambulatory/Outpatient Medical Care Per payment
Dermatology Per payment
Infectious Disease Per payment
Neurology Per payment
Ob/Gyn Per payment
Oncology Per payment
Opthamaology Per payment
Other Specialty Per payment
Radiology Per payment
Laboratory - Service Per payment
CD-4 T-Cell Count Per payment
Viral Load Test Per payment
Insurance – Medical
Premium and deductible payments for a client’s medical insurance with a private insurance provider. Do not report payments to public payers (e.g. Medicare/Medicaid) here.
Deductible Payment Per payment
Premium Payment Per hour
Oral Health Care
Co-payments for Oral Health Care when a client has private dental insurance.
Routine Treatment Per payment
Prophylaxis Per payment
Specialty Per payment
Insurance – Oral Health Care
Premium and deductible payments to a private insurer for dental insurance.
Deductible Payment Per payment
Premium Payment Per hour
AIDS Pharmaceutical Assistance (Local) (not Medicare, Medicaid or Part D)
Co-payments for a client’s medications when a client has drug coverage from a private insurer.
Co-Payment Per prescription
Insurance - Prescription Drugs (not Medicare, Medicaid or Part D)
Premium and deductible payments for prescription drug benefits with a private insurer.
Deductible Payment Per payment
Premium Payment Per month
Medicare/Medicaid Supplement
Premium, deductible or co-payments to Medicare/Medicaid.
Deductible Payment Per payment
Co-Payment Per payment
Premium Payment Per month
Deductible Payment – Part D Per payment
Co-Payment – Part D Per payment
Premium Payment – Part D Per month
Other Health Insurance
Premium, deductible or co-payments to other health insurers.
Deductible Payment Per payment
Co-Payment Per payment
Premium Payment Per month

 

Section 5. HOPWA
The goals of the DSHS HOPWA Program are to help low-income persons living with HIV establish or maintain affordable and stable housing, reduce their risk of homelessness, and improve their access to health care and supportive services. HOPWA project sponsors can visit the DSHS HOPWA Program Homepage for information and resource materials applicable to the activities they are carrying out.

The Service categories below are funded through Ryan White Program Part B, DSHS State Services and HOPWA formula funds awarded to the State only. IT may not reflect services funded through other Ryan White Program Parts, direct HOPWA or other funding sources. Certain services listed in Section 2 and all services listed in Section 3 are funded only through DSHS State Service funds.

Each service at the subcategory level will allow entry of a total cost amount that is the result of the agency’s unit cost calculation outside the data management system AIDS Regional Information and Evaluation System (ARIES).

The service categories are subject to revision as new information and guidance is received from Health Resources and Services Administration (HRSA) and the U.S. Department of Housing and Urban Development (HUD).

Service Category Subcategories ARIES Service Units
Permanent Housing Placement (PHP)
Assistance for reasonable security deposits, not to exceed the amount equal to 2 months of rent, and related application fees and credit checks.
Permanent Housing Placement Per payment

Short-Term Rent, Mortgage and Utility Assistance (STRMU)
Housing subsidy for short-term rent, mortgage and utility payments to prevent homelessness of the tenant or mortgagor of a dwelling. This program provides assistance for a period not to exceed 21 weeks (147days) worth of assistance in any 52 week period. These payments are for eligible individuals and their household beneficiaries who are already in housing and who are at risk of becoming homeless. STRUM was previously known as Emergency Assistance.

Short Term Rental Assistance Per payment
Mortgage Assistance Per payment
Utility Assistance Per payment

Supportive Services
Assistance for case management, basic telephone service and provision of smoke detectors. May be provided in conjunction with HOPWA housing assistance or as a stand alone service (Supportive Services Only).

Case Management Per 15 Minutes
Smoke Detectors Per payment
Telephone Service Per payment
Tenant Based Rental Assistance (TBRA)
Housing subsidy for tenant based rental assistance, including assistance for shared housing arrangements. It assists income eligible clients and their beneficiaries with rent and utilities until they are able to secure affordable, stable housing. TBRA was previously known as Rental Assistance.
Tenant Based Rental Assistance Per payment

 

1 - Supplements recommended by someone other than a licensed dietitian should be funded and recorded under Food Pantry/Voucher with Nutritional Supplements.
2 - This does not include child care while a client is at work.
3 - Ongoing daycare is provided and funded under Respite Care.
4 - Supplements ordered by a licensed dietician should be funded and recorded under Medical Nutritional Therapy.
5 - Nutritional counseling done by a licensed dietician should be funded and recorded under Medical Nutritional Therapy. Supplements ordered from a nutritional counseling visit with someone other than a licensed dietician should be funded and recorded under Food Pantry/Voucher Visit with Nutritional Supplements


Last updated August 31, 2015