Utah Admin. Code R388-805-3 - Nature of Program and Benefits
(1)
The Ryan White Part B Program provides reimbursement to providers for services
given to HIV positive individuals who meet the eligibility requirements. The
Ryan White Part B Program provides limited services as described in this rule.
The Department provides reimbursement coverage under the program only for
services for each program:
(a) as provided in
law governing the Ryan White HIV/AIDS Treatment Extension Act of
2009;
(b) to the extent that it has
agreed to reimburse providers with whom it contracts to provide services;
and
(c) as limited in its
agreements or contracts with providers.
(2) Within available funding, the Department
provides Core Medical and Supportive Services as allowable under the
legislation;
(a) The AIDS Drug Assistance
Program (ADAP) provides HIV related medications, health insurance premium, and
cost-sharing assistance.
(b)
Supportive Services Program provides a variety of supportive services that
enable the client to access medical care as well as to retain the client in
medical care.
(3) The
Department may adjust the services available to meet current needs and
fluctuations in available funding.
(4) The Ryan White Part B Program is not
health insurance. This program does not create a relationship with the
Department as the insurer and the client as the insured.
Notes
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