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| BECOMING A RYAN WHITE PART B PROVIDER: |
The Ryan White CARE Act was created to ensure quality care services for all people living with HIV/AIDS in the United States. Through the Part B program, the federal government provides the state of Ohio with funding for Emergency Financial Assistance for people living with HIV/AIDS. The Part B program pays for medical, dental, mental health, and support services for individuals living with HIV/AIDS who cannot afford it themselves. |
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| How the Part B program works |
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Before accepting Part B clients, you will first be asked to sign an agreement with the Ohio Department of Health to participate in the Part B program. |
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An HIV-positive client contacts his or her case manager for approval to make an appointment with your office and have services paid for with Part B funds. |
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The case manager faxes an approval form to your office indicating what services have been approved for payment by Part B. You will receive an approval form for each appointment. |
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You provide the services to the client and submit the bill within 55 days to the case manager. |
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If a client has other sources of payment, such as Medicaid, Medicare, or private insurance, these must be billed first before accessing Part B. |
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You will be reimbursed at Usual, Customary, and Reasonable (UCR) rates. You cannot bill the client for the difference between your charge for the service and the UCR reimbursement rate. |
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You can withdraw your participation in the program at any time with a written thirty-day notice. |
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| Why You Should Join |
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You will be helping the people living with HIV or AIDS in your community who otherwise may have difficulty obtaining quality services. |
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You will receive payment for providing services (at established UCR rates) for those clients who may not otherwise be able to pay for their services. You will save the time and money that would have been spent attempting to collect payment for services. |
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Referrals from case managers in your area will bring additional, guaranteed revenue into your business. |
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To request a provider agreement, please contact the Consortium 2 Care Coordinator at 614-327-2050, or you may contact the Ohio Department of Health directly at 614-644-8085 or toll free at 1-800-777-4775. |
| (information on the Part B program was adapted from Consortium 9c provider brochure) |
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