About Ryan White Part B and HOPWA Services
The Ryan White Program provides support services to people living with HIV/AIDS. Support services include case management, dental care, direct emergency financial assistance, housing assistance, medication assistance, counseling, substance abuse treatment and transportation assistance.
The Housing Opportunities for Persons with AIDS (HOPWA) Program is the only Federal program dedicated to the housing needs of people living with HIV. Under the HOPWA Program, the U.S. Department of Housing and Urban Development (HUD) makes grants to local communities, states, and nonprofit organizations for projects that benefit low-income persons living with HIV and their families.
Ryan White and HOPWA Administrative Requirements
Payment Documents
Service Definitions and Service Standards
- Service Standards RWB HOPWA 11.22.21 Clarification Update
- Ryan White Part B and HOPWA Service Entry Guidance 100521 Final
Monitoring Information
Staff from the Office of Public Health STD/HIV program will make an annual visit to organizations providing support services for monitoring purposes.
Case Management Supporting Documents
Ryan White Part B Services
Quick Guide
First Visit Activity
Assessment Paperwork–To be completed during the first meeting with a client.
- Ryan White Part B & HOPWA NMCM Assessment (Spanish)
- Screening Tool (Spanish)
- Scoring Sheet
- Part B Acuity Scale
Client Eligibility Forms–To be completed annually except proof of positivity.
- Eligibility and Requirements Checklist (Spanish)
- Part B Proof of Positivity
- MAGI Worksheet
- Documentation of No Income or Cash Only Income (Spanish)
- Employer Income Verification
- Part B Self Attestation (Spanish)
- Self-attestation proofs can be used to reduce barriers to services, but should not be used two years in a row.
Care Planning
- NMCM Care Plan
- Single Provider Statement
- Sample Client Confidentiality Acknowledgement
- Release of Confidential Information
Reassessment Activity
Reassessment Paperwork–To be completed every 6 months for RWHAP.
Direct Services Only Reassessment–to be used for non case managed clients upon eligibility recertification.
Activity Logs
General Guidance
- Food Bank Allowed Product List 2024
- Part B Sample Request and Consent to Text Message and
- Entering Referral Services in CAREWare
- Entering Acuity Scores in CAREWare
All Services
- Updated Louisiana 30/50/60/80% Income Levels
- LDH HOPWA Program Manual
- Form A Documentation of No Income or Cash Only Income
- Form B Self-Declaration of Residency
- Form C Household Income Eligibility Worksheet.
- Form D Program Agreement**
- Form E Demographic and Statistical Data
- It is recommended to use the service-specific versions to aid in CAPER data collection.
- Form F Release of Information*
- Habitability– STRMU and PHP may be self-certified by tenant or owner.
- Form G – Habitability Standards Certification
- Carbon Monoxide (CO) Detection Requirements:
- Louisiana Carbon Monoxide Requirements Checklist
- Sample Return Security Deposit Letter
- Sample Pet Reasonable Accommodation Letter and Reminders
TBRA
- LDH Notification of Revised Rent Standard
- LDH HOPWA FY 25 Rent Standard Limits
- FY 25 Statewide Utility Schedules (Home – Apartment – Duplex)
- Tenant Supplied Appliance Addendum
- Form E Demographic and Statistical Data
- Form H Rent Standard and Rent Reasonableness Certification
- Form I Rental Assistance Worksheet
- Form J Housing Choice Voucher Other Affordable Housing Waiver
- Form M Interim Recertification Worksheet
Violence Against Women Act Requirements
- VAWA Lease Addendum
- Optional VAWA Certification Form
- VAWA Emergency Transfer Plan
- VAWA Notice of Occupancy Rights
STRMU
- Form E Demographic and Statistical Data
- Form K 1 STRMU Tracking Sheet
- Form M Interim Recertification Worksheet
PHP
- PHP Eligible Costs and CO Detection Requirements
- Form E Demographic and Statistical Data
- Form L PHP Intent to Lease Worksheet
Trainings
2024 – 2025 Quality Management Training
- Training PowerPoint (PDF)
- October 31, 2024 Training Video
- Updated Storyboard Template (PowerPoint)
- December 17, 2024 Training Video
Quality Management Webinar Series
- Quality Management 101 Module 1- Quality Improvement Overview
- Quality Management 101 Module 2- Quality Program Infrastructure
- Quality Management 101 Module 3- Performance Measurement
- Quality Management 101 Module 4- QI Project Steps and PDSA
- Target HIV Center: Quality and Innovative Webinars