Florida Dept of Health, Ryan White Eligibility Contacts

Address

Various locations in Florida
Tallahassee, FL 32399

www.floridahealth.gov/diseases-and-conditions/aids/patient-care/_documents/eligibility-information/_documents/ConsortiaLeadAgenciesUpdated4-1-2020.pdf

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 19, 2020

Address Listings

Physical (Primary)

Various locations in Florida
Tallahassee, FL 32399

Mailing

Various locations in Florida
Tallahassee, FL 32399

AIDS Drug Assistance Programs

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

    If a location is grayed out it means that only certain areas within it are covered. The areas with complete coverage are listed in black.

  • Florida
    Edit Service DetailsClick here to see this service (LH-6700.6400-040) and related services within the Service Tree.
    Housing Search Assistance

    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

      If a location is grayed out it means that only certain areas within it are covered. The areas with complete coverage are listed in black.

    • Florida
      Edit Service DetailsClick here to see this service (BH-3900.3100) and related services within the Service Tree.

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