Enrolling in the Ryan White Program

Eligibility Requirements

The Ryan White Part A service continuum offers a variety of core medical services and essential support services for people who meet the specific eligibility requirements.
To be eligible for Ryan White Part A services in the Atlanta EMA the following requirements must be met:

  1. Documentation of HIV infection.
  2. Proof that the individual resides in one of the 20 counties of the Atlanta Eligible Metropolitan Area. These counties are – Barrow, Bartow, Carroll, Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Newton, Paulding, Pickens, Rockdale, Spalding and Walton.
  3. Must have an income ≤ 400% of the most current Federal Poverty Level.

What documents will you need to enroll?

Medical documentation of HIV infection is required. Any of the following documents would be acceptable:

  • A positive HIV antibody test result (Reactive IA/EIA/ELISA screening test) confirmed by Western Blot, Immunofluorescense Assay (IFA), Nucleic Acid Testing (Aptima), Multispot® HIV-1/HIV-2 Rapid Test by blood or oral fluid.
  • A positive HIV direct viral test such as PCR or P24 antigen.
  • A detectable HIV viral load (undetectable viral load tests are NOT proof of HIV)
  • A viral resistance test result
  • 4th  Generation testing
  • A statement or letter signed by a medical professional (acceptable signatories are listed below), on office letterhead/prescription pad indicating that the individual is HIV positive and must accompany a lab test to confirm current HIV status within 60 days
  • Presumptive diagnosis based upon lab results, and/or medical therapies prescribed by a previous medical provider.

It is not necessary to be a U.S. citizen to receive Ryan White Part A services. Applicants do not have to document citizenship or immigration status in order to be eligible for services. Service providers are not required to report undocumented clients to the Immigration and Naturalization Service (INS).

Any one of these documents will be accepted as proof of residency as long as the address is a land address, not a P.O. Box, issued within the past twelve months, not expired, and is the same as the client’s stated address on intake/application documents. Such official documents with address present include:

  • Current Lease/Rental Agreement
  • Mortgage indicating the client’s name and residence
  • Food stamp documentation
  • General assistance documentation
  • TANF (Temporary Assistance for Needy Families) documentation
  • Social Security or Veteran’s Administration Benefits award letter
  • Unemployment award/benefits statement
  • Property tax statement
  • Homeowners Association (HOA) assessment/fee statement, or
  • Current Lease/Rental Agreement
  • Non-property tax bill or tax assessment statement
  • W-2 (tax) form from employer (most recent tax year)
  • Check stub from employer (most recent tax year)
  • Bank statement (most recent month)
  • Driver’s license issued by the State of Georgia
  • State of Georgia issued identification card
  • Utility bills
  • US Passport
  • Unemployment document with address
  • Current voter registration card
  • School identification
  • US Visa (immigrant and non-immigrant)
  • Notarized statement from a homeless service provider (shelter, clinic, food program, etc.) verifying homelessness
  • A billing statement from a department store, doctor’s office, or insurance company, cell phone company
  • An official piece of mail such as a jury summons
  • A statement from a service provider indicating the provider has met with client in a home visit at a specific address in the Atlanta EMA.

Acceptable Documents Include:

  • Check stubs listing gross wages/employer’s statement listing gross wages
  • Supplemental Security Income (SSI) checks or benefit/award letters
  • Social Security Administration (SSA) checks or benefit/award letters
  • Temporary Assistance to Needy Families (TANF) checks or benefit/award letters
  • Section 8 Rental Assistance Statement
  • Other letters of Notification of Benefits (e.g., Medicaid, Medicare, SNAP, private disability, retirement/pension, Worker’s Compensation, Veteran’s Administration, WIC Program, Low Income Subsidy, etc.)
  • Other public assistance checks
  • Current W-2 Wage and Tax Statement forms
  • Third party screenings (TPQY) for verifying SSA/SSI benefit information
  • Notarized letter from Head of Household (HOH) detailing the client’s relationship to the HOH and the level of financial assistance provided to the client
  • Income from rental property
  • Child support/court order check
  • A zero income letter (on letterhead) from a shelter or residential treatment facility located in the Atlanta EMA
  • In extreme and rare cases, a notarized self-declaration letter from the client indicating their income (must be signed off on by the client’s Medical Case Manager)

Once you are enrolled you will need to provide information on insurance and other payment sources like Medicaid.

  1. Determination of uninsured or underinsured status (insurance verification as proof).
  2. Determination of eligibility and enrollment in other third party insurance programs including Medicaid and Medicare.
  3. For underinsured, proof this service is not covered by other third party insurance programs including Medicaid and Medicare.

Click here – for step by step procedure for eligibility test

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