Forms, Policies & Manuals
Legislation, Policies, and Procedures – HRSA HAB
- HRSA HAB RWHAP Part A Manual Updated 03/2025
- HRSA HAB RWHAP National Monitoring Standards-Part A Updated 09/2025
- HRSA HAB Policy Notices
- RWHAP Legislation
Policies and Procedures – Las Vegas TGA
- Las Vegas TGA Policy & Procedure Manual Updated 04/2025
- Las Vegas TGA Service Standards, P&Ps Updated 04/2025
Administrative and Fiscal Forms
- CLAS Assessment and Action Plan
- Quarterly Reporting Template Updated 04/2025
- Grievance Log Template Updated 04/2025
- Risk Assessment Form Updated 04/2025
- Fiscal Funding Summary Template Updated 2024
- Budget Form-Ryan White Updated 03/2026
- Budget Form-EHE Updated 03/2026
CAREWare/RWISE
- CAREWare User Agreement Form Updated 2026
- NV RWISE Manual Updated 6/2026
- NV RWISE Business Rules 6/2026
- RWISE Enrollment Queue Guide 03/2024
- Service Referrals in RWISE Guide Updated 11/2025
- Data Integration System (DIS) Manual 10/2025
- Service Referrals (Mohave County) 12/2025
- 2-Factor Authentication Set-Up
- TriYoung Help Request Instructions
Internal Referral Forms
- Emergency Financial Assistance Referral Forms Updated 03/2023
- Medical Nutrition Therapy Referral Form Updated 03/2023
Medical Case Management
- MCM Screening Tool Updated 05/2014
- Acuity Tool Updated 08/2014
- Individual Service Plan Updated 05/2014
Memos
- Social Security Windfall Memo 06/2025
- Ryan White Eligibility – Newborns & Infants up to 2 years of Age 03/2024
- RFR & Invoice Submission Changes Updated 10/2023
- Eligibility Application Reminders – 07/2023
- COVID Guidance & Proof of Diagnosis Guidance 06/2023
- Denial Clarification – 08/2021
- Disclaimer Memo – 03/2021
- Emergency Financial Assistance Memo – 03/2021
Ryan White Universal Eligibility and Enrollment Forms
- Universal Eligibility Manual Updated 06/2023
- Assistance Unit Determination Flow Chart Updated 03/2023
- Forms (English)
- 8-04- Universal Eligibility Application Updated 04/2026
- Demographics Addendum 10/2025
- 18-06- 6-Month Self Attestation Updated 05/2023
- 23-01-Client Change of Information Forms Updated 05/2023
- CGD Supplemental Forms Updated 06/2023
- Forms (Spanish)
- 18-04- Universal Eligibility Application (Spanish) Updated 04/2026
- Demographics Addendum (Spanish) 10/2025
- 18-06- 6-Month Self Attestation (Spanish) Updated 05/2023
- 23-01-Client Change of Information Forms (Spanish) Up. 05/2023
- CGD-Supplemental Forms (Spanish) Updated 06/2023
Ending the HIV Epidemic (EHE) / Rapid stART
- EHE Application Updated 03/2023
- EHE Application Guide Updated 12/2022
- Rapid stART Manual Updated 08/2023
- Rapid stART Module – Data Entry Guide
- Rapid stART Module – Reporting Guide
Service Taxonomy
- Ryan White Part A Service Taxonomy Effective 6/1/25
- Ending the HIV Epidemic Service Taxonomy Effective 6/1/25