The Ryan White HIV/AIDS Program provides a comprehensive system of care that includes primary medical care and essential support services for people living with HIV. The program awards grants to cities, states, and local community-based organizations to provide HIV care and treatment services to more than half a million people each year.
Below are resources available to support Ryan White HIV/AIDS Program funded-recipients in implementing their Federal grants and delivering HIV care and treatment services.
Implementation of Grant Requirements
The Ryan White HIV/AIDS Program legislation was first enacted in 1990 as the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. It has been amended and reauthorized four times: in 1996, 2000, 2006, and 2009. The Ryan White HIV/AIDS Program legislation has been amended with each reauthorization to accommodate new and emerging needs, such as an increased emphasis on funding core medical services and changes in funding formulas.
Policy Notices and Program Letters
The HIV/AIDS Bureau routinely issues Policy Clarification Notices and Program Letters to clarify implementation of legislative requirements.
For greater understanding of Ryan White HIV/AIDS Program policy and guidance, view all Ryan White HIV/AIDS Program technical assistance webcasts.
Data Reporting and Technical Assistance
Ryan White HIV/AIDS Program recipients are required to report data to the HIV/AIDS Bureau as a condition of their award. Data are reported on clients served, services provided, and expenditures. Technical assistance and data support are available to meet the needs of recipients.
Technical assistance for the Ryan White HIV/AIDS Program community is also available through the TARGET Center website. In addition, the AIDS Education and Training Center (AETC) Program supports a network of three national centers and eight regional centers (and more than 130 local affiliated sites) that conduct targeted, multidisciplinary education and training programs for health care providers treating people living with HIV.
CAREWare is a free, electronic health and social support services information system for Ryan White HIV/AIDS Program grant recipients and their providers. Download the CAREWare software.
The HRSA Contact Center is available to address questions regarding the Electronic Handbooks.
Clinical Care Guidelines and Protocols
The U.S. Department of Health and Human Services (HHS) issues a series of guidelines to help clinicians provide care and treatment to people with living HIV in the U.S. At a minimum, Ryan White HIV/AIDS Program recipients must follow the HHS Clinical Guidelines for the Treatment of HIV/AIDS.
Under the Ryan White HIV/AIDS Program, quality management is a series of activities that focus on enhancing the quality of HIV care provided and increasing access to services. These efforts focus on how health and social services meet established professional standards and user expectations. The HIV/AIDS Bureau's quality initiatives are designed to help Ryan White HIV/AIDS Program recipients implement quality management programs that target clinical, administrative, and support services.
Performance Measure Portfolio
The HIV/AIDS Bureau established a revised performance measure portfolio that focuses on critical areas of HIV care and treatment and aligns with milestones along the HIV care continuum. Ryan White HIV/AIDS Program recipients are encouraged to use the revised measures, including the core performance measures.
Funding Opportunity Announcements
HRSA grant opportunities are issued on an ongoing basis and funding opportunity announcements outline application requirements and expectations for recipients for specific funding periods.
HIV/AIDS Bureau Contacts
Access main contact numbers for the HIV/AIDS Bureau, which oversees the Ryan White HIV/AIDS Program and Global HIV/AIDS Program. Within the HIV/AIDS Bureau, federal Project Officers provide oversight and support of grants and contracts under these programs.
Monitoring Standards Guidance
Below is monitoring standard guidance for Ryan White HIV/AIDS Program Parts A and B recipients.
- Fiscal Monitoring Standards: Part A (PDF - 658 KB) and Part B (PDF - 778 KB)
- Program Monitoring Standards: Part A (PDF - 508 KB) and Part B (PDF - 594 KB)
- Universal Monitoring Standards: Parts A and B (PDF - 434 KB)
- Frequently Asked Questions (FAQs) (PDF - 200 KB)
Ryan White HIV/AIDS Program Manuals and Reports
- Ryan White HIV/AIDS Program Part A Manual (PDF - 1.47 MB)
- Ryan White HIV/AIDS Program Part B Manual - Revised 2015 (PDF - 2.2 MB)
- Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) Manual Revised 2016 (PDF - 559 KB)
- 2016 Annual Ryan White HIV/AIDS Program Services Report (RSR) Instruction Manual
Additional Recipient Resources
- Impact of Medicaid 1115 Waivers on the Ryan White HIV/AIDS Program - Case Studies Presentation (PDF - 429 KB)
- Impact of Medicaid 1115 Waivers on the Ryan White HIV/AIDS Program - Case Studies (PDF - 337 KB)
- Understanding and Monitoring Funding Streams in Ryan White HIV/AIDS Program Clinics: Survey Results Presentation (PDF - 376 KB)
- Understanding and Monitoring Funding Streams in Ryan White HIV/AIDS Program Clinics, Final Report Executive Summary (PDF - 423 KB)