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Select all of the services that you deliver at this service delivery site.
Core Medical Services
Outpatient/Ambulatory Health Services
AIDS Pharmaceutical Assistance
Oral Health Care
Early Intervention Services (EIS)
Health Insurance Premium and Cost Sharing Assistance for Low-Income Individuals
Home Health Care
Home and Community-Based Health Services
Hospice
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Mental Health Services
Medical Nutrition Therapy
Medical Case Management, including Treatment Adherence Services
Substance Abuse Outpatient Care
Support Services
Non-Medical Case Management Services
Child Care Services
Emergency Financial Assistance
Food Bank/Home Delivered Meals
Health Education/Risk Reduction
Housing
Linguistic Services
Medical Transportation
Outreach Services
Psychosocial Support Services
Referral for Health Care and Support Services
Rehabilitation Services
Respite Care
Substance Abuse Services (residential)
Other Professional Services
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EHE Initiative Services
Ending the HIV Epidemic Initiative Services
Program Information
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Items 4 & 5: Combine the two questions and Revise the question to How many physicians, nurse practitioners, or physician assistants in your organization prescribed
medications for opioid use disorder (MOUD) [e.g., buprenorphine, naltrexone] for opioid use disorders during the reporting period?
Service Information
A field with an asterisk before it is a required field.
7. Below is a list of all Ryan White HIV/AIDS Program services that were funded fully or partially using RWHAP funding, including EHE and CARES Act, and RWHAP-related
(Program Income and Pharmaceutical Rebates) funding. Select the services that were delivered by your agency during the reporting period even if other funding streams in
addition to the RWHAP funding, including EHE and CARES Act, and RWHAP-related funding were used to fund the service.
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Administrative and Technical Services
RWHAP Funding
EHE Funding CARES Act Funding Delivered
Service Category
RWHAP Funding
EHE Funding CARES Act Funding Delivered
Other
RWHAP Funding
EHE Funding CARES Act Funding Delivered
Administrative or technical support
RWHAP Funding
EHE Funding CARES Act Funding Delivered
Planning or evaluation
RWHAP Funding
EHE Funding CARES Act Funding Delivered
Quality management
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Core Medical Services
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Service Category
CARES Act Funding Delivered
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Outpatient/Ambulatory Health Services
CARES Act Funding Delivered
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Early Intervention Services (EIS)
CARES Act Funding Delivered
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Medical Case Management, including Treatment Adherence Services
CARES Act Funding Delivered
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Mental Health Services
CARES Act Funding Delivered
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Support Services
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Service Category
CARES Act Funding Delivered
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Emergency Financial Assistance
CARES Act Funding Delivered
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Food Bank/Home Delivered Meals
CARES Act Funding Delivered
RWHAP Funding
RWHAP-Related Funding (Program Income and Pharmaceutical Rebates) EHE Funding EHE Carryover Funding
Medical Transportation
CARES Act Funding Delivered
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EHE Initiative Services
EHE Funding EHE Carryover Funding
Delivered
Service Category
EHE Funding EHE Carryover Funding
Delivered
Ending the HIV Epidemic Initiative Services
7a. In the table below, select any additional services delivered by your organization that were funded by your organization’s generated Program Income or Pharmaceutical Rebates.
Additional Services Delivered Through Your Organization’s Generated Program Income and/or Pharmaceutical Rebates
Delivered
Service Category
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
AIDS Pharmaceutical Assistance
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Child Care Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Health Education/Risk Reduction
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Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Individuals
Health Insurance Premium and Cost Sharing Assistance for Low-Income
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Home and Community-Based Health Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Home Health Care
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Hospice
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Housing
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Linguistic Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Medical Nutrition Therapy
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Non-Medical Case Management Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Oral Health Care
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Other Professional Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Outreach Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Psychosocial Support Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Referral for Health Care and Support Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Rehabilitation Services
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Respite Care
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Substance Abuse Outpatient Care
Delivered Through RWHAP-Related Funding (Program Income and Pharmaceutical Rebates)
Substance Abuse Services (residential)
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HIV Counseling and Testing Service Information
Report the number of individuals who received counseling and testing during the reporting period. A field with an asterisk before it is a required field.
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Clients by ZIP code
Manually enter or upload a file (see Clients by ZIP code template file ) that contains two fields: the ZIP code of residence and the number of clients residing in that ZIP code who
received RWHAP, RWHAP-related (Program Income and Pharmaceutical Rebates), and/or EHE initiative funded services in the reporting period. You can re-upload a file if there
are any issues with the previous submission; the values will be over-written. You can also manually ‘add’, ‘edit’ and ‘delete’ multiple records using the appropriate button below
the table.
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If your agency provided core medical or support services during the reporting period, upload client-level data to complete your Provider Report. When your XML file is
successfully processed, you can view any alerts, warnings, or errors that are in the data. You can also view the Upload Completeness Report. Select the arrow to the left of the ID
number to see the Validation Report and Upload Completeness Report for each individual file that was successfully processed. To see the Validation Report and Upload
Completeness Report for the merged client-level data, select the links in the left navigation menu.
Please note:
This feature only works with RSR client-level data XML files that conform to the RSR Client-Level Data XML Schema Definitions. The most recent RSR XML Schema
Definitions are available on the TargetHIV website.
You will be unable to upload files larger than 29MB. If your client-level data XML file is larger than 29MB, please zip your file before upload. Create Compressed Zip File Create
Compressed Zip File
Changes to the file status in the Upload History Table are not automatically displayed. To view real-time updates to the Upload History Table, you must manually refresh this
browser window.
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