Required Provider Reports

HRSA DISCLAIMER

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87) via grant H89HA00007.

This document was funded with 100% governmental sources. The information or content and conclusions are those of the Nevada Office of HIV/AIDS Part B Program and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

 

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Required Provider Reports

  • REQUEST FOR REIMBURSEMENT

    Name: Request for Reimbursement (RFR)

    Due: Monthly

    Included:

    • Summary Cover Page, signed by the agency’s authorized signatory
    • General Ledger (monthly, generated from provider’s accounting system)
    • Service Category Specific Cost Reimbursement Invoice
    • Back up invoices specific to reimbursement request
  • CAREWare MAINTENANCE REPORT

    Name: CAREWare Maintenance Cleanup Reports

    Due: Monthly

    Included:

    • All client and service data are entered in CAREWare. Monthly reports on missing demographics, eligibility, pending referrals, clients with no services in 365 days, and other reports as needed are sent on a monthly basis. Providers are expected to review these reports and make any updates in CAREWare by the first Friday of the following month.
  • PROVIDER QUARTERLY REPORT

    Name: Provider Quarterly Report

    Due: Quarterly
    (due the first Friday of the following months, unless otherwise noted: July, October, January, April)

    Included:

    • Demographic information is provided for review
    • Services and number of individuals served to date is provided for review
    • Expenditure amount per service category is provided for review
    • Provider is expected to answer narrative questions related to current service delivery, Clinical Quality Management and the provided demographic information listed in letter a-c
  • CONTRACT DELIVERABLES

    Name: Contract Deliverables

    Due: Yearly

    Included:

    • Annual Financial Audit
    • Summary of all other funding sources
    • Proof of Insurance meeting County requirements
    • CPR Certification Log (as applicable)
    • Certification of Driver Safety Course (as applicable)
    • Medicare/Medicaid Certification Number (as applicable)
    • Clinical Quality Management Plan
    • Registered Dietician’s Credentials (as applicable)
  • GRIEVANCE LOG

    Name: Grievance Log

    Due: Quarterly

    Included:

    • Log of all grievances received
  • RYAN WHITE SERVICES REPORT

    Name: Ryan White Services Report

    Due:  Yearly

    • All agencies that provide RWHAP-funded services must complete their report online on the RSR Web-based System.
    • This is to confirm that their data accurately reflect their program and the quality of care their agency provides.
    • There are two parts of the RSR report that all providers must complete
    • 2016 Submission Dates are listed below:

    PART I: Provider Report

    • contains basic information about both the Provider and the services the Provider delivered under each of their RWHAP contracts.
    • This is entered manually into the RSR system

    PART II: Client-Level Data Report

    • contains one record per client that includes information on demographic status, HIV clinical information, HIV-care medical and support services received, and the client's 'UCI', an encrypted, unique client identifier.
    • CAREWare is used to create the file, and this file is then uploaded to the RSR system electronically

    January, 2016  (Date:TBD)

    Ryan White Service Report Training

    All providers must have one representative attend a required RSR training, provided by the Grantee’s office

    Monday, Feb. 15, 2016

    RSR Provider Report Due Date

    Provider Report must be submitted in RSR system and approved by Grantee’s office.

    Monday, March 7, 2016

    Client-level Data Submission Date

    90% on all fields of Client level data file must be uploaded to the RSR system.

 

NEW HAVEN / FAIRFIELD

COUNTIES

RYAN WHITE PLANNING COUNCIL