HIV, STD, and Viral Hepatitis Program

Ryan White Provider Links

  • Standard Reports Details
    • Agency Quarterly Report (word*)
      • All reports are due 30 days after the end of the quarter - 7/30/13, 10/30/13, 1/30/14, and 4/30/14
    • Quarterly Record Review Summary (excel*)
    • Individual Record Review (excel*)
      • Record Review Summaries are due 30 days after the end of the quarter - 7/30/13, 10/30/13, 1/30/14, and 4/30/14
    • Quarterly Financial Report (excel*)
      • All reports are due 30 days after the end of the quarter - July 30, October 30, January 30 - with the exception of the final, year end report, which is due 45 days after the end of the contract year - May 15. A budget projection for 4th quarter must accompany the submission of 3rd quarter fiscal report.
    • Agreement Closeout Report (excel*)
      • A financial settlement that reconciles total Department agreement payments issued to the provider to the total amount of Department agreement funds earned by the provider. The Report shall correspond to the Rider F-1 Agreement Settlement Form (ASF) Pro Forma - Budget and the settlement method entered in the Rider F-2 Agreement Compliance Section of the agreement.