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-4.003 - Eligibility and Documentation Requirements

Current through Reg. 50, No. 138; July 16, 2024
Only an individual seeking assistance, or their
				  court-appointed representative, legal representative, or legal guardian seeking
				  assistance on their behalf, may apply for services.
An applicant for HIV/AIDS patient care programs is eligible
				  to be linked to services based on a preliminary positive HIV test result from a
				  test approved by the Food and Drug Administration to determine the presence of
				  HIV infection. For this rule, linkage to service is defined as referring the
				  applicant to eligibility determination and counseling services and the
				  scheduling of medical appointments. To receive services from an HIV/AIDS
				  patient care program an applicant:
(1)
				Must have a positive test result from a test approved by the Food and Drug
				Administration to determine the presence of HIV infection.
(2) Must be living in Florida which may be
				documented by providing one of the following: current state or local Florida
				photo identification; utility bill, with name and street address; housing,
				rental or mortgage agreement in client's name; recent school records; bank
				statement, with name and street address; letter from person with whom the
				client resides; property tax receipt or W-2 form for previous year;
				unemployment document with street address; current voter registration card;
				official correspondence, postmarked in last 3 months; prison records, if
				recently released; current documentation from the Florida Medicaid Managed
				Information System (FLMMIS) or the Medical Eligibility Verification System
				(MEVSNET) showing that the client is currently receiving Medicaid or assistance
				from the Supplemental Nutritional Assistance Program (SNAP), formally known as
				food stamps; Florida Department of Corrections offender search website photo
				print out; or a Declaration of Domicile, as per section
				 222.17, F.S. If homeless: a
				statement from the shelter in which the client resides or visits; physical
				observation of location of residence by eligibility staff; a written statement
				from the client describing living circumstances may be used, signed and dated
				by the client. Eligibility staff may provide assistance with writing the
				statement; or a statement from a social service agency attesting to the
				homeless status of the client.
(3)
				Cannot be receiving the same services or be eligible to participate in local,
				state, or federal programs where the same type service is provided or
				available.
(4) Must have
				low-income.
(5) Must submit a
				completed and signed Application to Receive Allowable Services for HIV/AIDS
				Patient Care Programs, DH 150-884 (08/2014), which is incorporated by reference
				and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-06962
,
				be willing to cooperate with eligibility staff during the eligibility process,
				and comply with the Rights and Responsibilities stated in the
				application.
(6) Must have their
				eligibility confirmed every 366 days or at shorter intervals if the client's
				income or other factors change.
The above items can be satisfied by providing a current
				  Notice of Eligibility from a Ryan White Part A
				  program.
Rulemaking Authority
					 381.0011(2),
					 381.003(2) FS.
					 Law Implemented 381.0011,
					 381.003(1)(b)
					 FS.
New 1-23-07, Amended 10-27-08, 7-4-16,
					 10-12-22.