- 2023 Ryan White Part B Eligibility Guidelines (pdf)
- RW Service Definitions from PCN #16-02 Effective 4.1.2017 (pdf) (May 2017)
- HIV Continuum Circular (pdf) (August 2009)
- HRSA HAB HIV Performance Measures
Case Management Guidance
- SC RW Part B Medical Case Management Standards (pdf) (March 2022)
- SC RW Part B Medical Case Management Standards (pdf) (June 2018) (Archive)
- CM Progress Log Documentation for Provide Enterprise (pdf) (March 2022)
Forms
- Case Management Intake/Assessment (doc) (April 2015)
Monitoring Standards
- Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standar ds for RWHAP Part B Recipients (pdf) (June 2023)
- SC Ryan White Program Service Standards (pdf) (October 2024)
- Ryan White Part B Service Standards (pdf) (July 2022) (ARCHIVED - October 2024)
- HRSA Fiscal Monitoring Standards (pdf) (ARCHIVED - June 2022)
- HRSA Program Monitoring Standards (pdf) (ARCHIVED - June 2022)
- HRSA Universal Monitoring Standards (pdf) (ARCHIVED - June 2022)
Policies
- South Carolina Ryan White Consumer Advisory Board Statewide Policy
- Statewide Peer Adherence/Advocacy Policy
Reporting Instructions
- RSR Completion Instructions and Cleanup (pdf) (March 2014)
- Link to HRSA Website for Ryan White Services Reporting Information
- Running A Saved RSR Template (pdf) (March 2013)
- 2024 DPH HIV Care Programs Reporting Calendar (pdf)
Ryan White Part B
- Ryan White Part B Services Report
- Ryan White Part B Programmatic Narrative Report
- Ryan White Part B Budget, Quarterly and Year-End Financial Report Template (.xlsx) (Revised February 2023)
- Ryan White Part B Budget Revision Template (.xlsx) (Revised February 2023)
- Implementation Plan Workbook (.xlsx) (Revised September 2023)
- WICY Year End Report (Revised May 5, 2010)
- Ryan White Part B Invoice Template (.xlsx) (Revised February 2023)
- Ryan White Part B Budget Narrative & Cost Allocation Template (.xlsx) (Revised September 2023)
- Ryan White Part B Program Income Report
RW Rebate
- RW Rebate Invoice Template (.xlsx) (Revised February 2023)
- RW Rebate Budget, Quarterly and Year-End Financial Report Template (.xlsx) (Revised February 2023)
- RW Rebate Budget Revision Template (.xlsx) (Revised February 2023)
MAI
- MAI Narrative Report (Revised July 2013)
- MAI Budget, Quarterly and Year-End Financial Report Template (.xlsx) (Revised February 2023)
- MAI Budget Revision Template (.xlsx) (Revised February 2023)
- MAI Invoice Template (.xlsx) (Revised February 2023)
- MAI Implementation Plan Template (Revised September 2024)
Emerging Communities
- Emerging Communities Budget, Quarterly and Year-End Financial Report Template (.xlsx) (Revised February 2023)
- Emerging Communities Budget Revision Template (.xlsx) (Revised February 2023)
- Emerging Communities Invoice Template (.xlsx) (Revised February 2023)
- Ryan White Emerging Communities Programmatic Report (Revised April 2018)
NHAS Initiatives
- NHAS Initiatives Budget, Quarterly and Year-End Financial Report Template (.xlsx) (Revised February 2023)
- NHAS Initiatives Budget Revision Template (.xlsx) (Revised February 2023)
- NHAS Initiatives Invoice Template (.xlsx) (Revised February 2023)
Ryan White Ending the HIV Epidemic
- Ryan White Part B Budget Narrative & Cost Allocation Template (.xlsx) (Revised September 2023)
- EHE Implementation Plan Template (.xlsx) (Revised September 2023)
- EHE Invoice Template (.xlsx) (Revised September 2023)
- EHE Budget, Quarterly and Year-End Financial Report Template (.xlsx) (Revised September 2023)
- EHE Budget Revision Template (.xlsx) (Revised September 2023) (.xlsx) (Revised September 2023)
- RWB EHE Biannual Progress Report Template
Technical Assistance
- Technical Assistance Prior Approval WorkPlan
- Technical Assistance Invoice Template (.xlsx) (Revised February 2023)
Additional Subrecipient Guidance and Forms
- Federal Grant Compliance Requirements for Subrecipients (November 2023)
- Federal Subaward Invoice Supporting Documentation Guide (pdf) (Revised July 2024)
- Procurement Guidelines for Subrecipients (pdf) (July 2024)
- Overview of State of SC - DPH Travel Reimbursement Policies for Vendors and Subrecipients (pdf) (July 2024)
- Sample Position Description (.xlsx) (March 2022)
DPH Subrecipient Forms (Required by RW and HOPWA Programs)
- DPH Form 103 - Subrecipient Travel Expense Report (.xlsx) (July 2024)
- DPH Form 130 - Subrecipient Approval for Meetings that Include Meals and/or Facility Rentals (.xlsx) (July 2024)
- DPH Form 354 - Subrecipient Attendance Sheet (.xlsx) (July 2024)
- DPH Form 138 - Subrecipient Justification for Conference Selection Site (pdf) (July 2024)
- DPH Form 104 - Out of State Prior Approval (.xlsx) (July 2024)
- DPH Form 178 - Subrecipient Travel Log (.xlsx) (July 2024)
- DPH Subrecipient Gift Card Voucher Prior Approval (pdf) (revised July 2024)
- DPH Subrecipient Gift Card Voucher Prior Approval Form SAMPLE (pdf) (revised July 2024)
- Equipment and Vehicle Prior Approval Form – Over $5,000 (pdf)
Ryan White Part B Request for Applications
Tags
HIV & STDs