Ryan White Program

Who was Ryan White?

The Ryan White Program is a federally funded program that helps coordinate comprehensive medical care for people living with HIV/AIDS. The Ryan White HIV/AIDS Treatment Modernization Act of 2006 is named after a 15 year-old boy who experienced great discrimination because of his HIV status. The program is an early intervention service program designed to help improve the quality and availability of primary healthcare for those with HIV/AIDS.

Nationally, the Ryan White HIV/AIDS Program works with cities, states, and local community-based organizations to provide primary medical care and essential support service to more than half a million people each year. People living with HIV who have no insurance or are under insured can receive the HIV medical care and other support services they need.

What is the Ryan White HIV/AIDS Program?

The Ryan White HIV/AIDS Program provides funding to assist with the cost of providing outpatient medical care and related services for people living with HIV disease.

Who is eligible to participate in the Ryan White Program?

Any HIV positive person who receives care from New Horizon Family Health Services and lives within our 10 county service area in South Carolina: Abbeville, Anderson, Edgefield, Greenville, Greenwood, Laurens, McCormick, Oconee, Pickens, and Saluda.

What are the benefits of the Ryan White Program?

The following services are available:

Primary and HIV specialty medical care   
Oral Health services                                        
Nutritional Counseling                                     
Prescription Assistance                                    
Case Management                                           

 

Laboratory and Radiology services
HIV Counseling and Testing
Health Education
Transportation Assistance
Mental Health /Substance Abuse Counseling

Are Ryan White Program services free?

By law, the Ryan White Program is required to be the payer of last resort. This means if a patient has other insurance coverage, such as employer sponsored coverage, Medicaid or Medicare, that insurer must pay prior to Ryan White funding.

The client’s financial status will be assessed at intake and annually thereafter to determine eligibility for a sliding fee discount. Income verification must be provided to be eligible. There will be no out of pocket costs imposed on clients whose income is at or below 100% of the federal poverty level. If you are insured, an insurance claim will be filed for all rendered services.

Prescription assistance is available through the discounted sliding fee schedule.

Transportation assistance is available at no cost to the patient on a case by case basis.

Specialist visits and referrals may be covered if referred by a New Horizon Family Health Services' provider as funds are available.

Verification of Eligibility 

The program provides assistance with payment for physician visits, laboratory, radiology/dental services, and medications for persons with HIV/AIDS who have an income of 300% of poverty or less, as indicated in the annually updated Federal Poverty Guidelines and no health insurance.  These participants are billed for services on a sliding fee scale based on income and family size.  Once eligibility is verified you will not be turned away for inability to pay.  The program accepts Medicare, Medicaid, most private insurance plans and cash.  Participants with health care coverage are billed according to health insurance benefits.

Misrepresentation of coverage or failure to provide proof of health care insurance is considered cause for termination of services. 

  • Participation in the Program is contingent upon verification by NHFHS that a patient is eligible under specific income guidelines.
  • Patients will be assessed a fee for services on a sliding scale basis.
  • Patients must provide documentation requested by NHFHS upon entry into the program and annually thereafter.
  • Any false representation of income could lead to dismissal from the program.

The federal government has established a cap on annual, aggregate charges to recipients of Ryan White Program services. These charges include insurance premiums, payments to doctors, dentists, hospitals, pharmacies, and mental health clinicians and expenses related to private or public transportation that helps clients travel to and from medical appointments.

Caps on out-of-pocket expenses are determined by client income.

Additional Resources: 
POZ Center for Disease Control and Prevention
The Body: The Complete HIV/AIDS Resource HIV.gov
Aidsvu.org Get Tested
New Horizon Family Health Services
Ryan White
 Program
Position Phone Extension
Program Manager 2533
Behavioral Health Counselor 2536
Intake Specialist 2534
Nurse Educators 2505/2544
Medical Case Managers 2021/2541/2558
Peer Navigator 2547
Clinic Nurse 2100
Care Advocate 2553
Medical Assistant 2540

Access the HRSA Website for more details and information.