• Medicare Part D  New
• Pharmacy Policy 
• ADAP Formulary and HPCSWF Formulary (in addition to ADAP Formulary)
• Health Insurance Policy New
• Authorization Request New and Services Matrix 
• MIP Assignment 
• Dental Policy New and Fee Schedule 
• Exceptions Policy New
• End of the Year Policy New
• Mental Health Policy 
• Substance Abuse Policy New
• Transportation Policy New
• Food Policy New and Food Referral Form 
• Ambulatory Medical and Case Management Policy 
• Invoicing Process New
• AICP Process Policy New
• RW and HOPWA Reporting Policy 
• HOPWA Payment Policy New
• State HOPWA Program Guidelines (Guidelines Section Only) 
• Local HOPWA Implementation Policies 
• HUD- Fair Market Rent Values 
• Sarasota / Manatee HUD Manual 2007  
• 2008/2009 Poverty Guidelines 

Forms & Reports
The following are forms and reporting tools for the medical and housing assistance programs:

• New MIP / MIP Update Form 
• Request for Authorization Form
• Case Management FTE Verification 
• HOPWA Assistance Request Form   
• Landlord / Mortgage Holder Agreement  
• FTTY Report (blank in MS Excel with calculations)
• Quarterly Scorecard 
• IRS W-9 form for all vendors to be paid by HPCSWF
• Enhanced W-9 Form 
• AICP Application Forms 
• AICP Request Form 
• AICP Request Form fill-able, Excel format  
• AICP Case Manager Manual 2008 
• Notice of RW Eligibility Rule for AICP   (all in one PDF file)
• AWAPP Application 
• HOPWA Utility/Rent Deposit Agreement 

2007-2008 Ryan White contractual reporting requirements for contracted primary care and case management agencies.

New Florida HIV/AIDS Patient Care Program Eligibility Forms

• Applicant Survey 
• Amended Rule 64D-4 Memo
• Eligibility Assessment Worksheet 
• No Change Certification 
• Notice of Eligibility 
• Notice of Ineligibility 
• Notice of Rights 
• Redetermination Notice of Eligibility 
• Redetermination Notice of Ineligibility 
• Request for Exception   
• Electronic Application Form, Form Instructions, and PDF Application 
• 2008/2009 Poverty Levels
• Six-Month Recertification Review Form 
• Summary of Operational Procedures for Eligibilty Determination 
• DH3204 Initiation of Services
• DH3204 Instruction Sheet
• DH3203 Authorization to Disclose Confidential Information 
  

Other forms will be added as they are reviewed, updated and approved.

Surveys  

There is a client satisfaction requirement for all RWII and HOPWA providers. The policy for administrating, returning and reporting the surveys is attached along with the survey tools

• Client Satisfaction Policy 
• HOPWA Client Satisfaction Survey 
• Ryan White Title II Client Satisfaction Survey 
• RWII Medical Satisfaction Survey  New
• RWII Case Management Satisfaction Survey  New
• RWII General Satisfaction Survey    New
  
  Miscellaneous