Only an individual seeking assistance, or their
court-appointed representative, legal representative, or legal guardian seeking
assistance on their behalf, may apply for services.
An applicant for HIV/AIDS patient care programs is eligible
to be linked to services based on a preliminary positive HIV test result from a
test approved by the Food and Drug Administration to determine the presence of
HIV infection. For this rule, linkage to service is defined as referring the
applicant to eligibility determination and counseling services and the
scheduling of medical appointments. To receive services from an HIV/AIDS
patient care program an applicant:
(1)
Must have a positive test result from a test approved by the Food and Drug
Administration to determine the presence of HIV infection.
(2) Must be living in Florida which may be
documented by providing one of the following: current state or local Florida
photo identification; utility bill, with name and street address; housing,
rental or mortgage agreement in client's name; recent school records; bank
statement, with name and street address; letter from person with whom the
client resides; property tax receipt or W-2 form for previous year;
unemployment document with street address; current voter registration card;
official correspondence, postmarked in last 3 months; prison records, if
recently released; current documentation from the Florida Medicaid Managed
Information System (FLMMIS) or the Medical Eligibility Verification System
(MEVSNET) showing that the client is currently receiving Medicaid or assistance
from the Supplemental Nutritional Assistance Program (SNAP), formally known as
food stamps; Florida Department of Corrections offender search website photo
print out; or a Declaration of Domicile, as per section
222.17, F.S. If homeless: a
statement from the shelter in which the client resides or visits; physical
observation of location of residence by eligibility staff; a written statement
from the client describing living circumstances may be used, signed and dated
by the client. Eligibility staff may provide assistance with writing the
statement; or a statement from a social service agency attesting to the
homeless status of the client.
(3)
Cannot be receiving the same services or be eligible to participate in local,
state, or federal programs where the same type service is provided or
available.
(4) Must have
low-income.
(5) Must submit a
completed and signed Application to Receive Allowable Services for HIV/AIDS
Patient Care Programs, DH 150-884 (08/2014), which is incorporated by reference
and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-06962,
be willing to cooperate with eligibility staff during the eligibility process,
and comply with the Rights and Responsibilities stated in the
application.
(6) Must have their
eligibility confirmed every 366 days or at shorter intervals if the client's
income or other factors change.
The above items can be satisfied by providing a current
Notice of Eligibility from a Ryan White Part A
program.
Notes
Fla. Admin.
Code Ann. R. 64D-4.003
Rulemaking Authority 381.0011(2), 381.003(2) FS. Law
Implemented 381.0011, 381.003(1)(b)
FS.
New 1-23-07, Amended
10-27-08, Amended by
Florida
Register Volume 42, Number 120, June 21, 2016 effective
7/4/2016, Amended by
Florida
Register Volume 48, Number 188, September 27, 2022 effective
10/12/2022.
New 1-23-07, Amended 10-27-08, 7-4-16,
10-12-22.
