HIV Resources Project of Northern VA
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Ryan White Income Guidelines & Eligibility
Ryan White Part A and B Eligibility

  • You must have a diagnosis of HIV or AIDS and be low income
  • Before you are eligible for Ryan White funded services, you must use your (or your spouse's or partner's) private insurance, or public benefits like Medicare or Medicaid, to pay for the services they cover
  • Many organizations that receive Ryan White funds for services to people with HIV or AIDS also have services funded by other sources--always ask about other services if you don’t meet the income guidelines for Ryan White


Ryan White Part A and B Eligibility Income Limits

  • Ryan White Part A serves Suburban Virginia PLWH (Persons Living with HIV) with family/household incomes, adjusted for family/household size, to 400% of the federal poverty level
  • Ryan White Part B serves Northern Virginia PLWH with family/household incomes, adjusted for family/household size, to 400% of the federal poverty level
  • Suburban Virginia (Part A) is composed of the Cities of Alexandria, Fairfax, Falls Church, Fredericksburg, Manassas, Manassas Park; and the Counties of Arlington, Clarke, Culpeper, Fairfax, Fauquier, King George, Loudoun, Prince William, Spotsylvania, Stafford, and Warren
  • Northern Virginia (Part B) is composed of the Cities of Alexandria, Fairfax, Falls Church, Manassas, Manassas Park; and the Counties of Arlington, Fairfax, Loudoun, and Prince William
  • Family/household means two or more persons sharing living quarters who are related by birth, marriage or adoption, as well as same-sex couple households, and common law households. Roommates, unrelated individuals who share rent and utility bills in exchange for a share of space in a living unit, are not considered part of the PLWH's family/household for income determination
  • The federal poverty level (FPL) is updated each year in the Federal Poverty Guidelines. The maximum income for Ryan White is always a percentage of the current poverty level
  • Those with incomes between the poverty level and the maximum income level pay a sliding fee, (a fee that is higher or lower depending on whether your income is higher or lower). See Ryan White Parts A and B Sliding Fee Payment Requirements below.

Maximum Income for Ryan White Part A, B and ADAP Eligibility in Virginia
Effective April 1, 2016

Family Size
(count everyone in family/household) 

Federal Poverty Level (FPL)
2016

ADAP
and Parts A and B
400% of FPL *

1

$11,880

$47,520

2

  16,020

  64,080

3

  20,160

  80,640

4

  24,300

  97,200

5

  28,440

113,760

6

  32,580

130,320

7

   36,730

146,920

8

  40,890

163,560

Each additional person

    4,160

  16,640

*  Note:  400% is the poverty level multiplied by four. The income limit for services funded by Ryan White Part A, MAI, Part B, and ADAP are the same. Income limits change slightly each year with changes in the FPL .

Ryan White Parts A and B Sliding Fee Payment Requirements -
Fees under Revision - Watch this Space

  • A sliding fee is higher or lower depending on whether your income is higher or lower
  • Service providers who charge for services and provide services that are reimbursable through Medicaid and/or other insurance, must use a sliding fee scale for clients receiving these services through Ryan White funds, both Part A and Part B
  • The scale is based on the most current Federal Poverty Guidelines (also known as the federal poverty level or FPL), updated each year 

Part A and B Sliding Fees by Income - Effective April 1, 2016 for Northern Virginia

Family Size

Federal Poverty Level (2015)

200% Poverty Level

300% Poverty Level

Maximum Income for Ryan White Eligibility

1

$11,880

$23,760

$35,640

2

16,020

32,040

48,060

Refer to the 

3

20,160

40,320

60,480

Table Above 

4

24,300

48,600

72,900

 

5

28,440

56,880

85,320

 

6

32,580

65,160

97,740

 

7

36,730

73,460

110,190

 

8

40,890

81,780

122,670

 

Each additional person

4,160

8,320

12,480

 

The requirements for charges or sliding fee payments for services are:

  • Clients with an income less than or equal to 100% of the most current federal poverty guidelines will not pay a fee for the provision of services
  • Clients with an income greater than 100% of the most current federal poverty guidelines will pay a fee for the provision of services and will be charged according to a sliding fee scale. The service provider will post the sliding fee scale so that it is visible to clients and the general public


Caps on Ryan White Charges

  1. Clients with an income greater than 100%, but not exceeding 200% of the most current federal poverty level (FPL) will not, for any calendar year, pay Ryan White charges in an amount exceeding 5% of their annual gross* income
  2. Clients with an income greater than 200%, but not exceeding 300% of the most current FPL will not, for any calendar year, pay Ryan White charges in an amount exceeding 7% of their annual gross* income
  3. Clients with an income greater than 300%, but not exceeding 400% of the most current FPL will not, for any calendar year, pay Ryan White charges in an amount exceeding 10% of their annual gross* income 

*Gross income is your total income before any expenses are paid

Ryan White services may not be denied to any eligible HIV client based on that client’s inability to pay the charge or sliding fee.

Funding for this project was provided by:
US Department of Housing and Urban DevelopmentHIV/AIDS Administration
                 HAHSTA
HIV Resources Project, C/O Northern Virginia Regional Commission  3040 Williams Drive, Suite 200  Fairfax, VA 22031  703-642-4627 (Voice)  Email Us