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 legislation, the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87, October 30, 2009), delineates the statutory requirements of the program. View the Ryan White HIV/AIDS Program legislation (PDF - 1.3 MB).
HRSA develops policies that implement the legislation, providing guidance to recipients in understanding and implementing legislative requirements. These policies are listed below, followed by program letters, which provide additional guidance for recipients.
Policy Notices
- 21-02 Determining Client Eligibility & Payor of Last Resort in the Ryan White HIV/AIDS Program (PDF - 68 KB)
- Dear Colleague Letter for PCN 21-02 (PDF - 58 KB)
- 21-01 Waiver of the Ryan White HIV/AIDS Program Core Medical Services Expenditure Requirement (PDF - 168 KB)
- Dear Colleague Letter for PN 21-01 (PDF - 119 KB)
- 18-02 The Use of Ryan White HIV/AIDS Program Funds for Core Medical Services and Support Services for People Living with HIV Who Are Incarcerated and Justice Involved (PDF - 66 KB)
- 18-01 Clarifications Regarding the use of Ryan White HIV/AIDS Program Funds for Health Care Coverage Premium and Cost Sharing Assistance (PDF - 84 KB)
- 16-02 Ryan White HIV/AIDS Program Services: Eligible Individuals and Allowable Uses of Funds (PDF - 173 KB) (Effective for awards made on or after October 1, 2016)
- 16-01 Clarification of the Ryan White HIV/AIDS Program (RWHAP) Policy on Services Provided to Veterans (PDF - 44 KB)
- 15-04 Utilization and Reporting of Pharmaceutical Rebates (PDF - 38 KB)
- 15-03 Clarifications Regarding the Ryan White HIV/AIDS Program and Program Income (PDF - 197 KB)
- 15-02 Clinical Quality Management Policy Clarification Notice (PDF - 81 KB)
- 15-01 Treatment of Costs under the 10% Administrative Cap for Ryan White HIV/AIDS Program Part A, B, C, and D (PDF - 70 KB)
- 14-01 Clarifications Regarding the Ryan White HIV/AIDS Program and Reconciliation of Advance Premium Tax Credits Under the Affordable Care Act (PDF - 252 KB)
- Frequently Asked Questions for Policy Clarification Notice 14-01 (PDF - 281 KB)
- Clarifications Regarding the Ryan White HIV/AIDS Program and Reconciliation of Advanced Premium Tax Credits Under the Affordable Care Act (PDF - 190 KB) Federal Register (07/14/2014)
- 13-07: Uniform Standard for Waiver of Core Medical Services Requirement for Grantees Under Parts, A, B, and C (PDF - 86 KB). Replaced by 21-01 effective 10/1/2021.
- Sample Letters for Requesting a Waiver of the Core Medical Services Requirement in the Ryan White HIV/AIDS Program (PDF - 258 KB)
- October 25, 2013 Federal Register Notice on the Core Medical Services Waiver Requirements
(PDF - 186 KB) - May 24, 2013 Federal Register Notice on: Ryan White HIV/AIDS Program Core Medical Services Waiver; Application Requirements (PDF - 186 KB)
- 13-06 Clarifications Regarding Use of Ryan White HIV/AIDS Program Funds for Premium and Cost-Sharing Assistance for Medicaid (PDF - 29 KB). Replaced by 18-01 effective 8/30/2018.
- 13-05 Clarifications Regarding Use of Ryan White HIV/AIDS Program Funds for Premium and Cost-Sharing Assistance for Private Health Insurance (PDF - 42 KB). Replaced by 18-01 effective 8/30/2018.
- 13-04 Clarifications Regarding Clients Eligible for Private Health Insurance and Coverage of Services by Ryan White HIV/AIDS Program (PDF - 31 KB)
- 13-03 Ryan White HIV/AIDS Program Client Eligibility Determinations: Considerations Post-Implementation of the Affordable Care Act (PDF - 30 KB)
- 13-02 Clarifications on Ryan White Program Client Eligibility Determinations and Recertifications Requirements (PDF - 173 KB). Replaced by 21-02 effective 10/19/2021.
- 13-01 Clarifications Regarding Medicaid-Eligible Clients and Coverage of Services by Ryan White HIV/AIDS Program (PDF - 18 KB)
- 12-02 Part A and Part B Unobligated Balances and Carryover (PDF - 40KB)
- 12-01 The Use of Ryan White HIV/AIDS Program Funds for Outreach Services (PDF - 34KB). Replaced by 16-02 effective 10/22/2018.
- 11-04 Use of Ryan White HIV/AIDS Program Funding for Staff Training (PDF - 35 KB). Replaced by 15-01 and 15-02 effective 9/1/2020.
- 11-03 Residence of Planning Council Members and Consortia Members (PDF - 55 KB)
- 11-02 Clarification of Legislative Language Regarding Contracting with For Profit Entities (PDF - 43 KB)
- 10-02 Eligible Individuals & Allowable Uses of Funds for Discretely Defined Categories of Services (PDF - 139 KB). Effective through September 30, 2016. Replaced by 16-02 effective 10/22/2018.
- 07-05 Use of Ryan White HIV/AIDS Program Part B ADAP Funds to Purchase Health Insurance (PDF - 697 KB) Replaced by 18-01 effective 8/30/2018.
- 07-04 Use of Ryan White HIV/AIDS Program Funds for Transitional Social Support and Primary Care Services for Incarcerated Persons (PDF - 103 KB). Replaced by 18-02 effective 11/30/2018.
- 07-03 Use of Ryan White HIV/AIDS Program Part B ADAP Funds for Access, Adherence, and Monitoring Services (PDF - 26 KB)
- 07-02 Use of Ryan White HIV/AIDS Program Funds for HIV Diagnostics and Laboratory Tests Policy (PDF - 33 KB)
- 07-01 Use of Funds for American Indians and Alaska Natives and Indian Health Service Programs (PDF - 2.3 MB)
Program Letters
- The Ryan White HIV/AIDS Program and Pre-Exposure Prophylaxis (PrEP) Letter (PDF - 166 KB) - November 16, 2021, updated from June 22, 2016
- Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2022-2026 * (PDF - 371 KB) and Dear Colleague Letter (PDF - 77 KB) - June 30, 2021
- Clarification on Transitioning Clients from Ending the HIV Epidemic Funding to Ryan White HIV/AIDS Program and AIDS Drug Assistance Program Funding (PDF - 121 KB) - March 22, 2021
- Waiving Penalties and Administrative Requirements for Ryan White HIV/AIDS Program Recipients (PDF - 241 KB) - February 23, 2021
- Ryan White HIV/AIDS Program and COVID-19 Programmatic Waivers (PDF - 147 KB) - January 27, 2021
- COVID-19 Vaccines and the Ryan White HIV/AIDS Program (PDF - 137 KB) - January 15, 2021
- Ryan White HIV/AIDS Program and COVID-19 Letter (PDF - 42 KB) - September 10, 2020
- Integrated HIV Prevention and Care Plan Guidance Postponement Guidance for Ryan White HIV/AIDS Program Parts A and B Recipients (PDF - 217 KB) - June 17, 2020
- Long-acting Antiretroviral (ARV) Medication Guidance and Ryan White HIV/AIDS Program (PDF - 298 KB) - December 4, 2019
- Rapid Eligibility Determinations and Ryan White HIV/AIDS Program (PDF - 170 KB) - May 2, 2019
- RWHAP Parts A and B Annual Site Visit Exemption (PDF - 280 KB) - April 30, 2019
- First Medication in New Antiretroviral Drug Class (PDF - 201 KB) October 26, 2018
- Ryan White HIV/AIDS Program and Incorporating Messages on the Impact of Viral Suppression (PDF - 390 KB) October 19, 2018
- Retirement of 11-06 AIDS Drug Assistance Program: Use of Funds, Eligibility and Formulary Parity, Administration, Quality Assurance and Cost-Savings (PDF - 216 KB) December 12, 2017
- Integrating and Using the Housing Opportunities for Persons with AIDS and Ryan White HIV/AIDS Program Data Sets (PDF - 418 KB) August 29, 2017
- Using Ryan White HIV/AIDS Program Funds to Support Standalone Dental Insurance (PDF - 200 KB) December 5, 2016
- Using Ryan White HIV/AIDS Program Funds to Support Housing Services (PDF - 338 KB) August 18, 2016
- The Ryan White HIV/AIDS Program and Pre-Exposure Prophylaxis (PrEP) Letter (PDF - 472 KB) June 22, 2016
- HRSA CDC Integrated HIV Prevention and Care Plan Guidance (PDF - 369 KB) September 30, 2015
- HRSA CDC Integrated HIV Prevention and Care Plan Guidance (PDF - 109 KB) June 19, 2015
- HRSA CDC Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2017-2021 (PDF - 243 KB) June 2015
- Ryan White HIV/AIDS Program Service Categories Crosswalk with the HIV Care Continuum (PDF - 149 KB) June 11, 2015
- HCV Medications(PDF - 78 KB) February 13, 2015
- Clarification of CD4 Reporting (PDF - 29 KB) December 2, 2014
- RWHAP Comprehensive Plans/SCSN and CDC Jurisdictional Plan Submissions (PDF - 27 KB) February 24, 2014
- AIDS Drug Assistance Programs and the 340B Drug Pricing Program (PDF - 329 KB) January 31, 2014
- Transitional Grant Areas and Planning Councils Moving Forward (PDF - 308 KB) December 4, 2013
- Static MSA Boundaries for Part A EMAs and TGAs Letter (PDF - 442 KB) November 7, 2013
- Local Pharmaceutical Assistance Programs (LPAP) Clarification (PDF - 462KB) August 29, 2013
- HRSA CDC Letter in Support of Integrated HIV Planning (PDF - 33KB) May 22, 2013
- Coordination between Medicaid and Ryan White HIV/AIDS Programs (PDF - 114 KB) May 1, 2013
- ACA Plans Offered Through Marketplace Known as QHPs and ECPs (PDF - 292 KB) March 27, 2013
- HRSA CDC HIV Testing Letter (PDF - 428 KB) February 25, 2013
- Use of Funds and Activities for Program Development (PDF - 43 KB) April 26, 2012
- ADAP/TrOOP (PDF - 481 KB) November 23, 2010
- ADAP/340b (PDF - 299 KB) April 29, 2005
- Medicaid Coordination (PDF - 16 KB) August 10, 2000
*Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email Alexis Olszewski or call 301-443-0999.
