Florida Dept of Health, Ryan White Eligibility Contacts
Address
Various locations in Florida
Tallahassee, FL 32399
AKA:
Ryan White Part B Consortia
Description:
******10/27/20: IMPORTANT UPDATE: The BROWARD COUNTY INFORMATION ON THE MAP IS INCORRECT. NEW BROWARD CONTACT INFORMATION IS: Broward Regional Health Planning Council, 200 Oakwood Lane Suite #100, Hollywood 33020, PHONE: (954) 566-1417
*Ryan White Part B Lead Agencies either directly provide or give referrals to agencies that can provide the HIV/AIDS Patient Care Eligibility Screening
*Patients who are determined eligible will receive an eligibility letter that the patient must have in order to get HIV/AIDS Patient Care Program Services (ADAP, ADAP Premium Plus and HOPWA)
*If callers would like to begin filling out their eligibility forms, they can visit the Florida Ryan White Eligibility Portal: rwces.floridahealth.gov/
Eligibility forms include Form 1 (Eligibility Application Form), Form 3 (Initiation of Services (DH3204)), Form 4 (Authorization to Disclose Confidential Information (DH3203)), and Form 5 (Self Employment Tracking Sheet), if self-employed.
*If callers need to recertify their letter of eligibility, they can fill out Form 2 (Recertification Form).
*Click on the URL to open a PDF with contact information for the caller's county
*URL: http://www.floridahealth.gov/diseases-and-conditions/aids/patient-care/_documents/eligibility-information/_documents/ConsortiaLeadAgenciesUpdated4-1-2020.pdf
Is Shelter?
No
Related Resource
Date of Official Change:
October 31, 2023
Address Listings
Physical (Primary)
Various locations in Florida
Tallahassee, FL 32399
Mailing
Various locations in Florida
Tallahassee, FL 32399
Services
Click here to show all service details. Or click on a service name to see its details specifically.
Description
******10/27/20: IMPORTANT UPDATE: The BROWARD COUNTY INFORMATION ON THE MAP IS INCORRECT. NEW BROWARD CONTACT INFORMATION IS: Broward Regional Health Planning Council, 200 Oakwood Lane Suite #100, Hollywood 33020, PHONE: (954) 566-1417 *Ryan White Part B Lead Agencies either directly provide or give referrals to agencies that can provide the HIV/AIDS Patient Care Eligibility Screening *Patients who are determined eligible will receive an eligibility letter that the patient must have in order to get HIV/AIDS Patient Care Program Services (ADAP, ADAP Premium Plus and HOPWA) *If callers would like to begin filling out their eligibility forms, they can visit the Florida Ryan White Eligibility Portal: rwces.floridahealth.gov/ *Eligibility forms include Form 1 (Eligibility Application Form), Form 3 (Initiation of Services (DH3204)), Form 4 (Authorization to Disclose Confidential Information (DH3203)), and Form 5 (Self Employment Tracking Sheet), if self-employed. *If callers need to recertify their letter of eligibility, they can fill out Form 2 (Recertification Form). *Click on the URL to open a PDF with contact information for the caller's county *URL: http://www.floridahealth.gov/diseases-and-conditions/aids/patient-care/_documents/eligibility-information/_documents/ConsortiaLeadAgenciesUpdated4-1-2020.pdf
Hours
8am-5pm, M-F
Required Documents
Call
Eligibility
Must be HIV positive and meet income requirements
Fees
None to apply
Intake Procedure
Call to find out if appointment needed or can walk-in
Languages
English, Spanish
Service Area
Florida
Geography Served
- Florida
If a location is grayed out it means that only certain areas within it are covered. The areas with complete covereage are listed in black.
Description
******10/27/20: IMPORTANT UPDATE: The BROWARD COUNTY INFORMATION ON THE MAP IS INCORRECT. NEW BROWARD CONTACT INFORMATION IS: Broward Regional Health Planning Council, 200 Oakwood Lane Suite #100, Hollywood 33020, PHONE: (954) 566-1417 *Ryan White Part B Lead Agencies either directly provide or give referrals to agencies that can provide the HIV/AIDS Patient Care Eligibility Screening *Patients who are determined eligible will receive an eligibility letter that the patient must have in order to get HIV/AIDS Patient Care Program Services (ADAP, ADAP Premium Plus and HOPWA) *If callers would like to begin filling out their eligibility forms, they can visit the Florida Ryan White Eligibility Portal: rwces.floridahealth.gov/ *Eligibility forms include Form 1 (Eligibility Application Form), Form 3 (Initiation of Services (DH3204)), Form 4 (Authorization to Disclose Confidential Information (DH3203)), and Form 5 (Self Employment Tracking Sheet), if self-employed. *If callers need to recertify their letter of eligibility, they can fill out Form 2 (Recertification Form). *Click on the URL to open a PDF with contact information for the caller's county *URL: http://www.floridahealth.gov/diseases-and-conditions/aids/patient-care/_documents/eligibility-information/_documents/ConsortiaLeadAgenciesUpdated4-1-2020.pdf
Hours
8am-5pm, M-F
Required Documents
Call
Eligibility
Must be HIV positive and meet income requirements
Fees
None to apply
Intake Procedure
Call to find out if appointment needed or can walk-in
Languages
English, Spanish
Service Area
Florida
Geography Served
- Florida
If a location is grayed out it means that only certain areas within it are covered. The areas with complete covereage are listed in black.
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