HIV, STD, and Viral Hepatitis Program

Ryan White Provider Links

• Federal Ryan White Guidance Detail +
  • Ryan White HIV/AIDS Treatment Extension Act of 2009 - information from HRSA on the public law that funds HIV care services in Maine
  • Clinical Care Guidelines/Protocols - information from HRSA on the latest clinical practices and protocols
  • HAB Performance Measures - HRSA's HIV/AIDS Bureau has released four (4) sets of performance measures in the areas of clinical care, medical case management, oral health and AIDS Drug Assistance Programs.
  • Monitoring Standards - Fiscal, Program, and Universal Monitoring Standards for Part B programs are at the bottom of the page.

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• Clinical Guidelines for the Treatment of HIV/AIDS (Some available in PDF and PDA formats) Detail +
  • Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents - 12/1/09
  • Public Health Service Task Force Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States - 4/29/09
  • Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection - 2/23/09
  • Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents (pdf*) - 4/10/2009
  • Guidelines for the Prevention and Treatment of Opportunistic Infections Among HIV-Exposed and HIV-Infected Children - 8/26/2009

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• Drug Lists and Formularies Detail +
  • ADAP Formulary (pdf*)
  • MaineCare Preferred Drug List

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• ADAP Policies Detail +
  • ADAP Policy (pdf*)
  • ADAP/MaineCare Policy (pdf*)
  • ADAP/Medicare Policy (pdf*)
  • ADAP/Private Insurance Policy (pdf*)
  • ADAP Vitamin Policy (pdf*)

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• Laws/Rules Detail +
  • Rules governing HIV/AIDS Case Management Programs (word*)
  • MaineCare Targeted Case Management Services (word*)

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• Applications Detail +
  • ADAP Application (pdf*)
  • ADAP Release of Information (pdf*)
  • MaineCare Application (pdf*)
  • PHIP Application (pdf*)
  • Maine Rx Plus Application (pdf*)

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• Program-Specific Contract Riders Detail +
  • Rider A (word*)
  • Rider E (word* | pdf*)

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• Standard Forms Detail +
  • Required at Intake and Annually
    • Annual Assessment (word* | pdf*)
    • Client Rights and Responsibilities (pdf*)
  • Required as Needed
    • Client Contact Information (word* | pdf*)
    • Discharge Summary (word* | pdf*)
  • Required at Intake and Semiannually
    • Semiannual Certification (word* | pdf*)
    • Semiannual Care Plan (word* | pdf*)
  • Agency Forms As Needed
    • Grievance Summary (word*)
    • Training and Supervision Record (word*)
  • Optional Forms
    • Quarterly Assessment Update (word* | pdf*)
    • Budgeting Worksheet (word* | pdf*)
    • Medication Adherence Monitoring Tool (pdf*)
    • Medication Tracking Sheet (pdf*)
    • Documentation of HIV Status (word*)
  • Forms for Northern Maine Providers
    • Annual Assessment (word* | pdf*)
    • Client Rights and Responsibilities (word* | pdf*)
    • Discharge Summary (word* | pdf*)
    • Quarterly Assessment Update (word* | pdf*)
    • Semiannual Certification (word* | pdf*)
    • Semiannual Care Plan (word* | pdf*)

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• CAREWare Detail +
  • State of Maine CAREWare Manual - User Guidance Manual for Current Part B Providers April 01, 2012 (pdf*)
  • Appendix A - Reports (pdf*)
  • Appendix B - Service Sharing (pdf*)

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• Standard Reports Detail +
  • Agency Quarterly Report (word*)
    • All reports are due 30 days after the end of the quarter - 7/30/12, 10/30/12, 1/30/13, and 4/30/13
  • Quarterly Record Review Summary (excel*)
  • Individual Record Review (excel*)
    • Record Review Summaries are due 30 days after the end of the quarter - 7/30/12, 10/30/12, 1/30/13, and 4/30/13
  • 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.

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