This page provides administrative and programmatic information on HIV Services Program (HSP) for Part B. Resources around HSP Eligibility, HSP Subrecipient Manual, Service Standards, Subrecipient Monitoring Tools, and Programmatic Policies and Procedures are all found below. HIV providers and PLWH who have questions about this material can reach out using the contact information on the bottom of the page.
Eligibility for HIV Services Program (HSP)
In order to receive any HSP services in Indiana you must be actively enrolled. To determine eligibility, you can work with your local HIV Non-medical Case Management Program.
HIV Non-Medical Case Management is a program that is here for you! We have multiple programs and agencies across the state of Indiana to better serve your needs.
If you are a patient or client the non-medical case management program can help:
* Apply for medical insurance, including co-pay and deductible assistance
* Access to housing programs, utility assistance and food access
* Enroll with mental health and substance use treatments
* Provide access to HIV prevention and education services
* Refer to other community programs for legal assistance, support groups and medical providers
* Provide transportation options
If you are a provider:
* Please refer clients/patients to their local non-medical case management site.
* Non-Medical Case Management can come to you! Intakes can be done in medical offices, hospitals and in patients' homes
* Services can also include prescription assistance plans, medical adherence guidance and other resources for optimal healthcare
Non-Medical Case Management is a free service! You can access the full listing of non-medical case management sites at the bottom of this page, or call 317-233-1908 for more information.
- HSP Plans
- Map with Non-Medical Case Management Program Sites in Indiana
- Care Coordination Welcome Letter
- Indiana HIV Care Site Directory
- Living with HIV- Indiana Brochure (English) (Spanish)
- Provision of Information about HIV and the Law
Forms for HIV Services Program (HSP)
- Proof of Income Form
- Proof of Residency Form
- Notice of Change Form
- Proof of Public and Private Insurance Form
- HIV Verification Form
- Initial and Re-entry Checklist Form (Optional)
Additional Resources for HIV Services Program (HSP)
HSP has developing a comprehensive manual for subrecipients to understand how the RWHAP Part B Program operates. The subrecipient manual is available.
More information is coming soon as this aspect of the program is developed.
Service Standards by Service Category
- Emergency Financial Assistance (EFA) Service Standard
- Food Bank / Home Delivered Meals
- Linguistic Services
- Medical Case Management
- Medical Nutrition Therapy
- Medical Transportation
- Mental Health Services
- Non-Medical Case Management
- Outpatient/Ambulatory Health Services
- Other Professional Services
- Outreach Services
- Psychosocial Support
- Referral for Health Care and Support Services
- Substance Use Outpatient
- Substance Use Residential
- Universal Services
Subrecipient Monthly Progress Report
Subrecipients must complete a monthly Progress Report to communicate essential information regarding the successes, challenges, and overall developments of their programs to IDOH. Monthly Progress Reports are utilized by IDOH to monitor subrecipient progress and to provide appropriate training and technical assistance, when necessary.
Progress Reports must be completed and submitted by the 20th of the month following the delivery of services via REDCap, a data collection software provided through IDOH. The link to complete the monthly Progress Report can be found here.
Workplans outline goals and processes by which an agency/team/person can accomplish established goals. They break down a process into smaller, achievable tasks and clearly identify what you want to accomplish.
- Action Steps
In the Workplan Template and Examples you will find options on how you can structure your agency workplans; however, please feel free to adjust to your agency specific needs.
Subrecipient Administrative Monitoring Visit
Planning for an upcoming HSP administrative monitoring visit? These resources will help you understand the process and help you prepare for the visit. The tools are currently in pilot phase and you will find the final versions here:
- Administrative monitoring tool
- Administrative monitoring policy
- Example administrative monitoring visit notice
Programmatic and Administrative Policies and Procedures
- Notice of Privacy Practices - English - Spanish
- Payor of Last Resort Policy
- Vigorously Pursue Policy
- Statewide Grievance Policy
How to Become a Part B Subrecipient Provider In Indiana
HSP periodically solicits service providers through an open bid process called a Request for Proposals (RFP). When there are upcoming opportunities to apply to HSP for subrecipient funding, we will post the RFPs here.
How to Become Involved as a Person Living with HIV
HSP has numerous ways for PLWH to get involved. Initially, consumers are invited to participate in the statewide Quality Management Committee, but there will be additional opportunities posted here as they are developed.
HSP Contact Information
You can access our staff by calling 866-588-4948 and select option #1 or by emailing HSProgram@isdh.in.gov