HIV AIDS Providers

                                                                         All documents are in pdf format 

Pharmacy



         Hepatitis C Drugs

• Prior Authorization Guidelines: Medications for Treatment of Hep C, 9/25/17
• ADAP Prior Authorization Request Form for Hep C Drugs, 3/2017
• Link to EOHHS Application for Preferred Provider Status for Providers who Treat Patients with Hepatitis C

       ADAP Formulary

• ADAP Formulary, 1/10/18 
• ADAP Formulary-Expanded, effective 11/21/16 
• Expanded ADAP Formulary- provider letter, 11/4/16
• Early Refill Override Form for lost or stolen prescriptions

Provider Reference Manual and Toolkit

• HIV TCM Provider Reference Manual   
• HIV TCM Toolbox     

Documents

• Ryan White HIV Provision of Care Service Standards 
• Universal Monitoring Standards 
• Fiscal Monitoring Standards 
• Program Monitoring Standards 
• Part B WICY Cases 
• RI Ryan White Guidance for Part B Contractors, Oct 2016 

RI Integrated Prevention and Care Plan 2017-2021

• RI Integrated Prevention and Care Plan, 2017-2021
• Provider Survey 
• EOHHS 2015 Consumer Survey 
• EOHHS 2016 Focus Group Report 

Resources

• Vigorous Pursuit of Enrollment, Policies & Procedures 
• Vigorous Pursuit of Tax Credits, Policies & Procedures