Client Eligibility Requirements

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CLIENT ELIGIBILITY FOR AIDS HELP SERVICES

All persons residing in Monroe County with a documented HIV positive status are eligible to be clients of AIDS Help.

All clients are eligible, regardless of income, for the following services:

• Information
• Referral
• Medical Case Management
• Determination of and advocacy for eligibility of federal, state, county, and local assistance programs.
• Health Education
• Volunteer Services

ELIGIBILITY FOR HIV/AIDS PATIENT CARE PROGRAMS

What are the eligibility requirements?

• You have to be HIV positive.
• You must be living in Florida.
• You cannot be receiving the same services from
  Medicaid, Project AIDS Care or Insurance.
• You have to be low-income - at or below 300% of the Federal Poverty Level (FPL), and $12,000 or less in cash assets.

What services are covered?

• Doctor visits
• Case Management
• Dental
• Prescriptions
• Transportation
• Housing
• Health Insurance Premiums
• Others Support Services

If I am determined eligible
can I receive all these services?

Not necessarily. The services have to be available and funded.In addition, there are Program Qualifications to participate in the following single service programs:

• AIDS Drug Assistance Program (ADAP)
• AIDS Insurance Continuation Program (AICP)
• State Housing Opportunities for Persons with AIDS (HOPWA)

What are Program Qualifications?

Program Qualifications are specific requirements for enrollment in one of the following single service programs: For example:

• ADAP requires a prescription on the drug formulary.
• AICP requires a health insurance policy.
• HOPWA requires 80% of the median area income which may be more restrictive than the 300%.

But, don’t worry. If you do not meet these Program Qualifications, your eligibility status still allows you to receive these services from other HIV/AIDS Patient Care Programs, if funded and available.

How do I apply?

Using blue or black ink fill out this application and
submit it to the address on the back of this brochure with the required information. You can complete it yourself or ask eligibility staff to help you.

What required documentation
do I include?

There are several types of documentation you
must provide.
Part 1: Proof of HIV Status-Original or copy of an HIV Laboratory Test which shows your HIV status –Do Not Bring a Doctor’s Statement.

Part 2: Living in Florida. Bring Photo ID if possible.

Part 3: Bring all documents that show you are receiving services from other programs or have been denied, such as:

• Medicaid Card
• Medicare Card
• Project AIDS Care Eligibility Notice
• Insurance Policy
• Public Assistance Program Award or Denial Letters
• Veterans Administration and Other Documents which apply.

Parts 4 & 5: Bring all that apply to show your Income, Cash & Items of Value, such as:

• Current Pay Stubs (last 3 months if possible)
• Bank & Savings Statements
• Military & Earnings Statement
• Rental & Other Income
• If Self Employed–1040 Form
• Public Assistance Award or Denial Letters

What If I don’t have all the documentation?

It’s Okay. Include what you have or call the local office for help. Remember having the correct information at the time of the application will quicken your eligibility determination.

What happens after I send or take in the application?

When your application and the documentation is received you will be scheduled an eligibility interview with eligibility staff to review the application. You may be asked to submit more information.

When will I start receiving services?

Eligibility staff will give you an eligibility confirmation letter after your application is processed and approved. You will be asked to choose a case management agency to help you determine all of your needs and/or you may be referred to one of the single service programs for drugs, housing or insurance assistance depending on your situation.

What if I am not eligible and I don’t like the decision?

You will receive a written letter explaining why you are not eligible, and you will be provided information about your right to ask for a fair hearing.

The Department of Health, eligibility staff cannot discriminate
because of race, color, sex, age, disability, religion, nationality or political belief.

You can ask for a fair hearing if you think the decision
made on your case is unfair or incorrect.