Ryan White HIV/AIDS Treatment Extension Act of 2009

The Ryan White HIV/AIDS Treatment Extension Act of 2009 codifies a variety of core medical and support services provided to eligible people with HIV. The Minnesota Department of Human Services (DHS) directly administers Ryan White program services for eligible people with HIV under Program HH.

Program HH provides access to crucial medications and care services for people with HIV in Minnesota. It includes:

The information on this page is useful for insurance companies, people who use Program HH, case managers and other partners who help people enroll in Ryan White Part B Programs through Program HH.

Note: Program HH is payer of last resort, which means people must use all other funding sources first for all Program HH benefits.

The Program HH Dental Benefit covers most dental procedures, including:

People who use the Program HH Dental Benefit must receive treatment from a state-registered dentist who accepts Medical Assistance. There is no out-of-pocket expense to the person, but some procedures and treatment plans, such as crowns and bridges, require prior authorization by the state of Minnesota dental consultant. Minnesota Health Care Program (MHCP)-enrolled dental providers should submit the request for authorization.

For more information about Program HH Dental Benefit eligiblility, covered services, authorization requirements and billing information, refer to MHCP Provider Manual – Program HH Dental Benefit.

The Program HH Outpatient Mental Health Benefit covers outpatient counseling with any state-registered mental health professional who accepts Medical Assistance.

Covered services include a one-hour assessment and individual, group or family psychotherapy visits. There is no out-of-pocket expense to the person.

For more information about Program HH Outpatient Mental Health Benefit eligiblility, covered services, authorization requirements and billing, refer to MHCP Provider Manual – Program HH Mental Health Benefit.

People who use Program HH can get help to pay for nutritional supplements (e.g., Boost, Ensure). The Nutritional Supplement Benefit does not cover vitamins, but people may be able to receive FDA-approved vitamins that are prescribed by a physician through Program HH (refer to DHS – Program HH Medication Program [ADAP] formulary).

Nutritional supplements require a prior authorization (PA) from an MHCP-enrolled dietician using Nutritional Supplemental Authorization Request, DHS-5849 (PDF). Renewals of all PAs are required every six months.

Any pharmacy or medical supply store that is an MHCP-enrolled provider can provide nutritional supplements. For more information, refer to MHCP Provider Manual – Pharmacy services.

For more information about Program HH Nutritional Supplement Benefit eligiblility, covered services, authorization requirements and billing, refer to MHCP Provider Manual –Program HH Nutrition Benefit.

Program HH reimburses providers that:

Eligible people who use Program HH may receive MTMS if they are currently taking medication or have a prescription for medication but have not yet started it.

For more information about Program HH MTMS eligiblility, covered services, authorization requirements and billing, refer to MHCP Provider Manual – Program HH MTMS.

DHS – Program HH Medication Program (ADAP) formulary
MHCP Provider Manual – Program HH (HIV/AIDS) services
MHCP Provider Manual – Pharmacy services
MHCP Provider Manual – Program HH Dental Benefit
MHCP Provider Manual – Program HH Mental Health Benefit
MHCP Provider Manual – Program HH MTMS
MHCP Provider Manual –Program HH Nutrition Benefit
Nutritional Supplemental Authorization Request, DHS-5849 (PDF)