HIV Program

Policies and Procedures

• BVCOG HIV Policies Procedures – 2023
• DSHS Policy 590.001: DSHS Funds as Payment of Last Resort
• DSHS HIV Core and Support Service Categories / Universal Standards
• DSHS Housing Opportunities for Persons with AIDS (HOPWA) Program

Eligibility / Screening

• DSHS Policy 220.001: Eligibility to Receive HIV Services
• BVCOG Eligibility to Receive HIV Services
• Payor of Last Resort (PoLR) Screening Tool
• Payor of Last Resort screening guidance
• Fee for Service Screening Tool

Forms

• Reallocation Request Form (Ryan White / State Services / State R)
• HOPWA Reallocation Request
• Income Calculation Form
• Non-expendable Personal Property Report (Form GC-11)
• Oral Health Waiver form

Care Coordination

• DSHS Case Management Tools / Training 
• Texas HIV Case Management Standards of Care

Health Insurance Assistance

• BVCOG Guidance for Health Insurance Assistance
• Income Limits for Health Programs
• HIA vs LPAP vs EFA chart

Local Pharmaceutical Assistance Program (LPAP)

• Local AIDS Pharmaceutical Assistance
• LPAP Board and Formulary Development
• Medication Inclusion / Exclusion Form
• LPAP Formulary (updated 6.28.23)

Quality Management

• DSHS HIV/STD Clinical Quality Management Program
  
• BVCOG QM Plan 2021-2026
• Appendix B 2021-2026
• Attachment A Performance Measures

ADAP (THMP) Enrollment

• Texas HIV Medication Program (THMP)
• Texas HIV Medication Program – Documents
• Texas HIV State Pharmaceutical Assistance Program (SPAP)
• Texas HIV Medication Program – Medicare Part D (Medicare RX) Information

• DSHS Master Service Category Monitoring Tools 2024
• HOPWA Monitoring Tool 9.1.22 to 8.31.23
  
• HOPWA Monitoring Tool 9.1.23 to 8.31.24
• Priority Assessment Tool
• Corrective Action Plan template

Training

• Training Checklist for Service Providers
• DSHS HIV/STD Workforce Training Center
• National HIV Curriculum
• TargetHIV
• South Central AETC

Resources

• Ryan White HIV/AIDS Program Recipient Resources

Sub-contractor Reporting

• HOPWA 2023 DSHS Program Progress Report (PPR) for Project Sponsors
• Subcontractor Semiannual Report 2023-2024 (Revised September 2023)