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HIV Medical and Support Service Categories


The DSHS HIV/STD Section seeks public comment on the updated HIV Standards of Care.  DSHS will post individual draft updates for review on a rolling basis until July 2025. See the current draft updates at Public Comment on the Updated HIV Standards of Care.


The service categories below are fundable though Ryan White HIV/AIDS Program (RWHAP) Part B grant, DSHS State Services, and HOPWA formula funds awarded to the State only. Listed service categories may not fully reflect services fundable through other RWHAP Parts, direct HOPWA, or other funding sources. Certain services listed in Section 2 and all services listed in Section 3 are fundable only through DSHS State Service funds.

The service categories are subject to revision as new information, requirements, and/or guidance is received from the Health Resources and Services Administration (HRSA), U.S. Public Health Service (USPHS), the State of Texas, and/or DSHS.

Section 1. Core Medical Services
Section 2. Support Services
Section 3. Support Services (State Services Funds Only)
Section 4. Health Insurance Program (HIP)
Section 5. HOPWA
Section 6. Minority AIDS Initiative (MAI)
Section 7. Universal Standards – Monitoring Tools – Templates
Section 8. Corrective Action Plan (CAP) Templates and Resources

Contact your local Administrative Agency or your DSHS Services Consultant with questions.

Guidance for the Use of Telemedicine, Teledentistry, and Telehealth for HIV Core and Support Services
 


Section 1. Core Medical Services

Service Category Revised
Early Intervention Services (Part B) January 2024
Health Insurance Premium and Cost Sharing Assistance January 2024
Home and Community-Based Health Services January 2024
Home Health Care January 2024
Hospice Services January 2024
Local AIDS Pharmaceutical Assistance (LPAP)
LPAP Statement of Need
September 2024
Medical Case Management (including Treatment Adherence Services) September 2024
Medical Nutritional Therapy January 2024
Mental Health Services January 2024
Oral Health Services January 2024
Outpatient/Ambulatory Health Services January 2024
Substance Abuse Outpatient Care January 2024

 

Section 2. Support Services

Some services listed here may not be funded with Ryan White Part B funds.

Service Category Revised
Child Care Services January 2024
Emergency Financial Assistance (EFA) January 2024
Food Bank/Home-Delivered Meals January 2024
Health Education/Risk Reduction (HE/RR) January 2024
Housing Services January 2024
Linguistic Services January 2024
Medical Transportation Services January 2024
Non-Medical Case Management October 2024
Other Professional Services January 2024
Outreach Services January 2024
Psychosocial Support Services January 2024
Referral For Health Care and Support Services October 2024
Rehabilitation Services January 2024
Respite Care January 2024
Substance Abuse Services (Residential) January 2024

 

Section 3. Support Services (State Services Funds Only)

These services may not be funded with Ryan White Part B funds.

Service Category Revised

Other Services
Activities not associated with current HRSA Service Categories to be provided under this service category. Activities must be approved by DSHS prior to allocating State Service funds.

N/A

 

Section 4. Primary and Secondary Service Categories

Section 5. Housing Opportunities for Persons With AIDS

The DSHS Housing Opportunities for Persons With AIDS (HOPWA) Program helps eligible persons living with HIV and their households establish or maintain affordable and stable housing, reduce their risk of homelessness, and improve their access to health care and supportive services. DSHS authorizes the following services, funded by grants from the U.S. Department of Housing and Urban Development (HUD). DSHS may occasionally revise these definitions to align with new information and guidance from HUD. Each service subcategory allows Project Sponsors (HOPWA service providers) to enter service unit costs based on calculations performed outside of Take Charge Texas (TCT). Please refer to the DSHS HOPWA Program Manual for comprehensive information on eligible costs.

Service Category Subcategories Service Units

Permanent Housing Placement (PHP)
PHP housing assistance costs include, but are not limited to, application fees, first and last month’s rent, and reasonable utility and security deposits required for lease approval and occupancy.

Permanent Housing Placement Per payment

Short-Term Rent, Mortgage and Utility (STRMU)
STRMU provides short-term, rent, mortgage, and utility payments for households experiencing a financial crisis related to their HIV health condition or a change in their economic circumstances. STRMU helps prevent homelessness by enabling households to remain in their own homes. STRMU may assist with up to 21 weeks of accrued costs in a 52-week period.

Rent Per payment
Mortgage Per payment
Utility Per payment

Supportive Services
The DSHS HOPWA Program currently limits the use of Supportive Services to Housing Case Management (HCM). HCM plays a vital role in HOPWA Supportive Services and can contribute to successful program outcomes for housing stability and access to care. HCM primarily centers around matters related to housing issues, including housing options, stability, and goals. The intensity or level of HCM provided to a household will depend on the household’s assessed level of need.

Please do not confuse HOPWA’s Supportive Services with Ryan White’s Support Services listed in Section 2.

Case Management Per 15 Minutes

Tenant Based Rental Assistance (TBRA)
TBRA provides an ongoing and portable rental subsidy that helps households obtain or maintain permanent housing, including assistance for shared housing arrangements, in the private rental housing market until they can enroll in the Housing Choice Voucher Program (HCVP) or other affordable housing programs. Under TBRA, households select a housing unit of their choice. TBRA pays the difference between the household’s calculated monthly rent payment and the rent specified in their lease agreement. The gross rent of the proposed unit cannot exceed the lower of the rent standard or reasonable rent.

Tenant-Based Rental Assistance Per payment

 

Section 6. Minority AIDS Initiative (MAI)

 
Service Category Revised
Health Education-Risk Reduction (HERR) May 2020
Outreach Services May 2020

 

Section 7. Universal Standards – Monitoring Tools – Templates

Tools
Universal Standards
Service Standards Review Crosswalk 2024
DSHS Master Service Category Monitoring Tools 2024
DSHS MAI Monitoring Tools
HOPWA Monitoring Tool
2023-24 Ryan White Part B and State Services Monitoring Logistics Guide

 

Section 8. Corrective Action Plan (CAP) Templates and Resources

Tools and Resources
2023/2024 Ryan White Part-B/State Services Program Monitoring - Evaluation and Deficiency Response Plan

Corrective Action Plan (CAP) Template – A provider or agency may use their own CAP template with approval of their Administrative Agency (AA)