Topic: Program Income
Agencies can fiscally benefit by generating program income through contracts with public and private payers and efficient billing systems.
Guidelines and Manuals
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HRSA HIV/AIDS BureauDecember 2016
HRSA’s HIV/AIDS Bureau guidance and requrements for grantees of the Ryan White HIV/AIDS Program on such topics as eligibility, allowable use of funds, and clarifications of legislative requirements.
Webinars and Training
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HealthHIVMay 2016
HRSA/HAB Fiscal Monitoring Standards require Ryan White HIV/AIDS Program recipients and subrecipients to have policies and procedures regarding the imposition and assessment of client charges.
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National Center for Innovation in HIV CareMay 2016
On this webinar, representatives from Bailey House present a case study showing how their organization transitioned from an HIV/AIDS housing organization to an organization with growing revenues in the healthcare field.
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HealthHIVMay 2016
Training resources on enhancing billing systems to maximize revenues, covering CPT and ICD codes in the HIV/AIDS care context.
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CRE TA CenterApril 2016
Tips for negotiating contracts with insurers.
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CRE TA CenterFebruary 2016
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National Center for Innovation in HIV CareJune 2015
This webinar explores the importance of effective business planning for ASOs and CBOs and outlines key elements of a successful business plan.
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HRSA HIV/AIDS BureauMay 2015
Resources and training to assist Ryan White grant recipients in administering their Ryan White HIV/AIDS Program (RWHAP) grants.
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National Center for Innovation in HIV CareMay 2015
This webinar explores the organizational benefits of developing pharmacy services, describes the different models of pharmacy that can be utilized at different organizations, and outlines the steps required to develop these services.
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HRSA HIV/AIDS BureauMarch 2015
Presentation on sliding fee scale and cap of out-of-pocket charges.
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Positive Outcomes and The George Washington UniversityMay 2013
Webcast (and slides) on what HIV medical clinics should consider in assessing readiness and preparing for or expanding participation in health insurance markets.
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HealthHIVJanuary 2011
Training on meeting federal and state fiscal requirements, fiscal compliance assessment, implementing Ryan White payer of last resort policies, applying Federal Poverty Level guidelines to assess sliding fees, and financial sustainability.
Tools and Job Aids
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HealthHIVMarch 2016
Assessment of Medicaid coverage of HIV/AIDS prevention, screening, and care services (e.g., testing, counseling, PrEP, condoms) in ten selected states.
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CRE TA CenterSeptember 2015
Tool for assessing your organization’s strengths and gaps in areas that are of importance to insurers and that support maximizing revenue realized from contracting activities.
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NASTADJuly 2014
Insights for ADAPs in establishing procedures for seeking rebates when a prescription is filled by another 340B entity (pharmacy), to ensure that either ADAP other the other entity receives the rebate or discount for the claim.
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TARGET CenterOctober 2013
Collection of resources on compliance programs, which are an essential component of agency operations and entail mechanisms to ensure, for example, appropriate handling of payments, claims, and audits.
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West County Health CentersMarch 2013
Form for clients explaining the maximum annual amount of costs patients will incur (annual payment cap) for services they receive from Ryan White providers. Once this payment cap is reached in a given year, Ryan White providers will not charge any more for the rest of the year.
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HealthHIVJuly 2007
Resources to build agency skills in financial management (e.g., federal grant requirements, budgeting, fundraising, accounting principles).
Reports and Best Practices
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National Center for Innovation in HIV CareJune 2015
This issue brief describes important changes occurring in the U.S. health care system that are improving access to health care for thousands of people living with HIV in the U.S.
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MosaicaAugust 2012
Considerations for safety net providers in preparing for implementation of the Affordable Care Act (e.g., third-party billing, restructuring operations).