Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64D - Division of Disease Control › Chapter 64D-4 - ELIGIBILITY REQUIREMENTS FOR HIV/AIDS PATIENT CARE PROGRAMS › Section 64D-4.002 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
For the purpose of this chapter, the words and phrases below
				  are defined as follows:
(1) "ADAP
				Approved Plans" - insurance plans that will, at minimum, include pharmaceutical
				benefits for HIV antiretroviral medications; have at least one drug from each
				class of core antiretroviral; and are assessed for cost effectiveness. Cost
				effective is defined as the aggregate cost of paying for the health insurance
				option versus paying for the full cost for medications.
(2) "Federal Poverty Level" - the poverty
				income guidelines (effective January 2022) as published by the U.S. Department
				of Health and Human Services, which is incorporated by reference and available
				at
https://www.flrules.org/Gateway/reference.asp?No=Ref-14755
.
(3) "Household Income" - income from all
				sources received by the applicant, the applicant's spouse (if married), anyone
				who lives with the applicant who the applicant can claim as a dependent on
				their taxes, and anyone who lives with the applicant and claims the applicant
				as a dependent on their taxes.
(4)
				"Household Size" - the number of persons in an applicant's household, which
				includes the applicant, the applicant's spouse (if married), all persons the
				applicant could claim as dependents on their taxes, and anyone living with the
				applicant who could claim the applicant as a dependent on their
				taxes.
(5) "HIV/AIDS Patient Care
				Programs:"
(a) Ryan White Part B Consortia
				Program, a program authorized by  42 U.S.C. §
											300ff-23, that assesses the
				service needs of persons living with HIV/AIDS in an area that received Ryan
				White Part B funding, and secures providers to deliver the needed core medical
				and support services based on available funding;
(b) Ryan White Part B AIDS Drug Assistance
				Program, a program that provides medications to uninsured or underinsured
				individuals living with HIV/AIDS disease, authorized under  42 U.S.C. §
											300ff-26. Services are provided through the distribution of medications
				directly to eligible clients or by the purchase of health insurance that
				includes coverage for HIV/AIDS medications;
(c) ADAP Premium Plus Insurance Program, a
				component of ADAP designed to assist eligible clients, as defined in rule
				 64D-4.007, F.A.C., who have
				insurance and need assistance with premiums, copays, and/or
				deductibles;
(d) State Housing
				Opportunities for Persons with AIDS (HOPWA) Program, as defined by  24 C.F.R.
				Part 574  (04/01/13), a housing program, funded by the U.S. Department of
				Housing and Urban Development and administered by the state, that is intended
				to prevent the condition of homelessness from occurring to individuals or
				families living with HIV/AIDS; or if already homeless, to transition the
				individuals or families back into stable housing as soon as possible, as well
				as to create a strategy for long-term housing stability for persons living with
				HIV/AIDS. The program funds short-term rent, mortgage and utility assistance,
				permanent housing placement, transitional housing, resource identification and
				case management, and,
(e) HIV/AIDS
				patient care programs provided by the patient care networks, as defined in rule
				 64D-2.001, F.A.C., and county
				health departments as administered by the Florida Department of Health, Bureau
				of Communicable Diseases.