Utah Admin. Code 388-805-3

Current through Bulletin 2024-24, December 15, 2024
Section 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.

Utah Admin. Code R388-805-3

Amended by Utah State Bulletin Number 2016-24, effective 11/30/2016
Amended by Utah State Bulletin Number 2018-3, effective 2/1/2018
Amended by Utah State Bulletin Number 2020-18, effective 9/1/2020
Amended by Utah State Bulletin Number 2023-04, effective 2/7/2023