HIV/AIDS Services Providers
Policy
Pharmacy
Hepatitis C Drugs
- Prior Authorization Guidelines: Medications for Treatment of Hep C, 9/25/17
- ADAP Prior Authorization Request Form for Hep C Drugs, 2/2022
- EOHHS Application for Preferred Provider Status for Providers who Treat Patients with Hepatitis C
ADAP Formulary
- ADAP Updated Formulary
- ADAP Expanded Formulary
- Early Refill Override Form for lost or stolen prescriptions
- ADAP Part B Services Enrollment Form
Provider Reference Manual and Toolkit
Documents
- Ryan White HIV Provision of Care Service Standards
- Universal Monitoring Standards
- Fiscal Monitoring Standards
- Program Monitoring Standards
- Part B WICY Cases
- RI Ryan White Guidance for Part B Contractors, November 2024