About Ryan White Housing Funds
Ryan White housing funds should be used to assist individuals with transitional, short term or emergency housing assistance. These funds to be used to move individuals out of homelessness, or the risk of homelessness, so that they may get in to and be maintained in medical care.
These may come in the form of paying for a stay in a hotel before a family can move in to a home, a shelter voucher, a rent payment to a landlord, costs associated with a sober living facility, a SRO or housing that provides care including recovery or behavioral health services. Additional types of uses may be allowed with permission from the Support Services Monitor at the STD/HIV Program.
These payments should total no more than 90 days of assistance but may be extended with permission from the agency Case Management Supervisor or Executive Director. The number of months of support may not exceed 24 months for the lifetime of the client. There is not currently a dollar limit on the amount of support that may be provided on behalf of an eligible client.
Per HRSA guidelines this item may not be used to pay mortgages or rental deposits.
Definition of Service
Housing services provide transitional, short-term, or emergency housing assistance to enable a client or family to gain or maintain outpatient/ambulatory health services and treatment. The State of Louisiana defines transitional housing as up to 24 months of support.
If housing services include other service categories (e.g. meals, case management, etc.) these services should also be reported in the appropriate service categories.
Housing services cannot be in the form of direct cash payments to clients and cannot be used for mortgage payments, or rental deposits.
Eligible housing can include either housing that:
- Provides some type of core medical services (such as residential substance use disorder services or mental health services, residential foster care, or assisted living residential services); or
- Does not provide core medical or support services, but is essential for a client or family to gain or maintain access to and compliance with HIV-related outpatient/ambulatory health services and treatment. The necessity of housing services for the purposes of medical care must be documented.
Assistance includes negotiating housing payments, as well as providing financial assistance to maintain or obtain housing, which supports the client’s ability to gain or maintain access to medical care.
All clients under RWHAP must be assessed for housing needs during their initial session. Providers must also include the development of an individualized housing plan, updated annually, to guide the client’s linkage to permanent housing. Housing services may include housing referral services: assessment, search, placement, and advocacy services; as well as fees associated with these services.
Face-to-face and other encounters with or on behalf of the client as related to locating affordable housing or group housing (case management), accompanying the client to housing-related appointments, and resource development are not eligible in this category. This service category does not include travel, the actual provision of transportation, or clerical support. Time may not be counted more than once for the purposes of billing.
Additional Client Eligibility Required
- Client must be adequately screened for and apply to housing assistance programs, including Section 8 and Housing Opportunity for People With AIDS (HOPWA).
- Client must gain or be maintained in medical care as a result of the provision of this service.
Units of Service
- 1 housing dollar issued = 1 unit
- 1 short term emergency housing dollar issued = 1 unit
Requirements to Participate
- Housing Services must meet the Ryan White Requirements to Participate as outlined in the Universal and Service Standards document.
- Provider(s) must demonstrate that employees authorized to provide Housing Assistance have extensive knowledge of local, State and Federal housing resources, and can provide accurate information on how clients can access these services.
- Provider(s) must demonstrate that these short-term emergency housing dollars are linked to medical services or are certified as essential to a client’s ability to gain or maintain access to HIV-related medical care or treatment.
- If necessary, one payment may be made on behalf of self-declared person living with HIV before documentation of HIV status is obtained. Agency must obtain all necessary documentation regarding HIV status within thirty (30) days of the first payment made on behalf of the individual.
- Cash payments to clients are prohibited.
*Standard 15.2.A was added on 12/1/2018
|15.1||Training and Provision|
|15.1.A||Provider(s) must demonstrate that employees authorized to provide Housing Assistance have extensive knowledge of local, State and Federal housing resources and can provide accurate information on how clients can access these services.||Training of providers is documented in employee file.|
|15.1.B||Provider(s) must demonstrate that these short-term emergency housing dollars are linked to medical services or are certified as essential to a client’s ability to gain or maintain access to HIV-related medical care or treatment.||Documented in client file.|
|15.1.C||If necessary, one payment may be made on behalf of self-declared person living with HIV individual before documentation of HIV status is obtained.
Agency must obtain all necessary documentation regarding HIV status within thirty (30) days of the first payment made on behalf of the individual.
|Documented in client file.|
|15.1.D||Cash payments to clients are prohibited.||Documentation of the payment method, and payee, is kept in client file.|
|15.2.A*||Invoices for services needed and proof of payment must be submitted with the invoice to SHP monthly.||Included in monthly invoice for each payment.|