Eligibility

Eligibility

 All applicants to the Ryan White Part C & D* Programs must meet the following requirements:

  1. Be HIV positive - Provide complete name-linked verification of HIV+ status within 30 days of initial intake using one of the following:
    • Positive Western Blot Result
    • Signed and dated written statement from a medical care provider (Please use the medical documentation form)
    • A counseling and testing provider may sign and verify HIV status
    • A discharge summary or other hospital record that verifies diagnosis
    • Medicaid or Social Security documentation that verifies status
  2. Provide verification of one full year of household income via: 
    • Pay stubs that represent a full year of income
    • Most recent W-2 form
    • Award letter from Social Security Disability/Supplemental Security Income
    • Check stub from Social Security Disability/Supplemental Security Income
    • Signed statement of no income (for applicants who report having no income)
    • If applicant has zero income, he-she must report how needs of daily living are being met
  3. Proof of residency by bringing one of the following: valid KY driver's lisence or state ID card, copy of signed lease agreement, current utility bill, and/or statement from person providing room and board
  4. Sign and date the Informed Participation Agreement Form
  5. Provide sufficient factual information to complete the initial intake and assessment form within 30 days of initial interview
  6. Provide documentation of health insurance, if applicable

* Patients eligible for Part D include women, infants, children and youth under age 24, as well as affected family members of HIV+ persons.