EMERGENCY FINANCIAL ASSISTANCE Service Definition: Emergency Financial Assistance provides limited one-time or short-term payments to assist the Ryan White Part A Sub-recipient’s client with an emergent need for paying for essential utilities, housing, food (including groceries and food vouchers), transportation and medication. Emergency financial assistance can occur as direct payment to an agency or through a voucher program. Direct cash payment to clients are not permitted It is expected that all other sources of funding in the community for emergency financial assistance will be effectively used and that any allocation of Ryan White Part A founds for these purposes will be the payer of last resort, and limited amount, uses and periods of time. Continuous provision of an allowable service to a client should not be funded through emergency financial assistance. Special condition as it relates to the dispensing of medication must be as a result or component of a primary medical visit; on an emergency basis (defined as a single occurrence of short duration of less than six months), or by giving vouchers to client to procure medications. STANDARD MEASURE 1. Eligibility Criteria Sub-recipients must have established eligibility Eligibility criteria criteria for the provision of emergency financial Documentation in consumer assistance that includes, at minimum: records of consumer Income limits meeting eligibility criteria Program cap limits Proof that Ryan White is the Requirements to access other resources before Payer of Last Resort Ryan White funds Proof of shut-off notice Documentation of need and why it is (utility bills) an emergency Copy of prescription/bill Documentation verifying that consumer is in HIV Date of last infectious medical care disease appointment b. Emergency financial assistance for housing and/or Policies and procedures utilities may not be provided to a consumer more Documentation in consumer than once per contract year. records of emergency financial assistance limits Evidence of payment plan with utility company Evidence of plan to permanently house client 2. Service Delivery
EMERGENCY FINANCIAL ASSISTANCE Service Definition: Emergency Financial Assistance provides limited one-time or short-term payments to assist the Ryan White Part A Sub-recipient’s client with an emergent need for paying for essential utilities, housing, food (including groceries and food vouchers), transportation and medication. Emergency financial assistance can occur as direct payment to an agency or through a voucher program. Direct cash payment to clients are not permitted It is expected that all other sources of funding in the community for emergency financial assistance will be effectively used and that any allocation of Ryan White Part A founds for these purposes will be the payer of last resort, and limited amount, uses and periods of time. Continuous provision of an allowable service to a client should not be funded through emergency financial assistance. Special condition as it relates to the dispensing of medication must be as a result or component of a primary medical visit; on an emergency basis (defined as a single occurrence of short duration of less than six months), or by giving vouchers to client to procure medications. STANDARD MEASURE 1. Eligibility Criteria Sub-recipients must have established eligibility criteria for the provision of emergency financial assistance that includes, at minimum: Income limits Program cap limits Requirements to access other resources before Ryan White funds Documentation of need and why it is an emergency Documentation verifying that consumer is in HIV medical care Eligibility criteria Documentation in consumer records of consumer meeting eligibility criteria Proof that Ryan White is the Payer of Last Resort Proof of shut-off notice (utility bills) Copy of prescription/bill Date of last infectious disease appointment b. Emergency financial assistance for housing and/or utilities may not be provided to a consumer more than once per contract year. Policies and procedures Documentation in consumer records of emergency financial assistance limits Evidence of payment plan with utility company Evidence of plan to permanently house client 2. Service Delivery
Hartford-TGA-Standard-of-Care-Emergency-Financial-Assistance.docx