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Ryan White HIV/AIDS Program (including CAREWare)
The Ryan White HIV/AIDS Program provides a comprehensive system of care that includes medical care and support services for people living with HIV who are uninsured or underinsured. The program works with cities, states, and local community-based organizations to provide HIV care and treatment services to more than half a million people each year. It is administered by the U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau.
Program Guidance
Michigan (MDHHS)
- MDHHS Ryan White Program Guidance #14-01: Eligibility and Recertification (rev. April 2018)
- MDHHS Ryan White Program Guidance #14-02: Administration Expense Cap (rev. September 2014)
- MDHHS Ryan White Program Guidance #20-03: Incentives (rev. November 2020)
- MDHHS Division of HIV and STI Programs (DHSP) Incentives Toolkit Presentation (rev. November 2020)
Federal (HRSA)
- Health Resources and Services Administration, HIV/AIDS Bureau home page
- Ryan White Policy Notices and Program Letters
Service Standards
Michigan (MDHHS)
- MDHHS Ryan White Program Service Standards (rev. May 2020)
- Appendix A (rev. August 2020)
- Appendix B (rev. May 2022)
- MDHHS Guidelines for Testing and Reporting: Perinatal Human Immunodeficiency Virus (HIV), Hepatitis B and Syphilis (rev. September 2021)
- MDHHS Michigan HIV Case Management Standardized Tools
- Biopsychosocial Assessment Tool
- Acuity Scale Tool
- Care/Service Plan Tool
- MDHHS Health Insurance Premium Cost Sharing Assistance (HIPCA) Policies and Procedures (rev. 2021)
- MDHHS HIPCA, DMR, MIDAP, PA, Medicaid, Gap Insurance Education Training -This recording includes updates from the Continuum of Care Unit (CoC), Michigan Drug Assistance Program (MIDAP), Insurance Assistance Program (IAP) and Script Guide Rx. We take a deeper dive into the policy and procedures for HIPCA and MIDAP along with updates to the Direct Member Reimbursement Process.
Federal (HRSA)
Program Resources
Michigan (MDHHS)
- MDHHS Health Insurance Premium Cost Sharing Assistance (HIPCA) Needs Requests Form (rev. September 2021)
- DHS-424: Client Benefits Evaluation Form (rev. February 2016)
Case managers can use this form to gather information that will help determine a client's possible eligibility for welfare entitlement benefits (e.g., Social Security Disability Insurance, Medicaid, Food Assistance Program), other government benefits (e.g., Michigan Drug Assistance Program, Insurance Assistance Program), and other community resources and/or benefits.
Federal (HRSA)
- Annual Ryan White HIV/AIDS Program Services Report (RSR)
- Ryan White HIV/AIDS Program Part B Manual (rev. April 2022)
- TARGETHIV (Technical Assistance Resources, Guidance, Education & Training for the Ryan White community)
Quality Management
Michigan (MDHHS)
- MDHHS Integrated Ryan White Parts B and D Quality Management Plan (2021-2022)
- MDHHS Summary of Performance Measures
Federal (HRSA)
- HRSA HAB Performance Measures
- HRSA Policy Clarification Notice (PCN) #15-02: Clinical Quality Management
- HRSA Ryan White HIV/AIDS Program Center for Quality Improvement and Innovation (CQII)
Consumer Quality Management Training
The Consumer Quality Management Training is for any interested person who wants to learn basic, fundamental quality management information. The information in the training will help the participant feel more knowledgeable and equipped for quality management activities and meetings at their agency, community, or state level.
Viral Load Suppression Disparity Walkthrough Training
This training demonstrates how to pull, analyze, and display viral load disparity data utilizing CAREWare and the NQC Disparity Calculator.
Ryan White HIV/AIDS Program CAREWare
CAREWare is a free, electronic health and social support services information system for Ryan White HIV/AIDS Program grant recipients and their providers. It was developed by HRSA's HIV/AIDS Bureau and first released in 2000, and it is used to report year-end, Ryan White HIV/AIDS Services Report (RSR) client-level data and to monitor quality of care on a regular basis. CAREWare contains customizable modules for tracking demographics, services, medications, laboratory test results, immunization history, diagnoses (updated with ICD-10 codes), and referrals to outside agencies.
Requests to Add a New User
CAREWare requires authorization prior to accessing the system. Please first submit an access request through the STI/HIV Operations and Resource System (SHOARS). For information about SHOARS including how to register and submit an access request, please visit Michigan.gov/SHOARS. If there are any questions or concerns regarding this process, reach out to MDHHS-SHOARS-SUPPORT@michigan.gov.
Staffing Changes
If you have staff members that are leaving your team, please contact MDHHS-SHOARS-SUPPORT@michigan.gov so Division of HIV and STI Programs (DHSP) staff can help remove records for previous employees.
Getting Started with CAREWare
Introducing CAREWare Version 6
CAREWare has been updated and has a new user interface that runs in any internet browser except for Internet Explorer. Version 6 includes the same functionality as Version 5 with some additional features.
- Downloading and Installing CAREWare
- Logging in for the first time:
- Go to "My Settings."
- Change your password to something you will remember.
- Update your contact information with your current phone number and email address.
- Update your security questions.
- CAREWare 6 User Guide
- CAREWare 6 Data to Care Quick Guide
RSR Resources
- HRSA HAB CAREWare Home Page
- MDHHS Ryan White Parts B and D CAREWare Service Categories and Sub-Services (Appendix A of MDHHS Ryan White Program Standards of Care)
Requests to Reset a Password
- Any password resets or MILogin related issues will have to contact the State of Michigan's DTMB MILogin Team at 517-241-7681 or 877-932-6424.
Technical Assistance
The Division of HIV and STI Programs (DHSP) will provide technical assistance (TA), as requested, on the implementation of the Ryan White program. This may include issues related to: CAREWare, Quality Management, Ryan White B services, Budget/Fiscal, Grants and Contracts, ADAP, or other activities related to carrying out Ryan White activities. TA requests must be submitted through the STI/HIV Operations and Resource System (SHOARS). In addition, if your contract is to be amended, the request will have to be logged into SHOARS. Registration instructions and further information can be found at Michigan.gov/SHOARS. If there are any questions or concerns regarding this process, please reach out to MDHHS-SHOARS-SUPPORT@michigan.gov.