Forms, Policies & Manuals
Administrative Policies and Procedures
Incentive Policy Updated 9/5/2023
Fiscal Policies and Procedures
COMING SOON!
CAREWare/RWISE
CAREWare User Agreement Form Updated 03/2021
RWISE User Manual Updated 03/2021
RWISE Viewer Manual Updated 03/2021
RWISE Training Slide Presentation Updated 03/2021
RWISE Viewer Slide Presentation Updated 03/2021
Ending the HIV Epidemic (EHE) / Rapid stART
EHE Application Updated 03/2023
EHE Application Guide Updated 12/2022
Clark County Rapid stART User Form Updated 03/2021
Rapid stART Manual Updated 08/2023
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
Medical Transportation Rideshare
Medical Transporation Rideshare Program Guidance Updated 02/2022
Program Policies and Procedures
Grievance Log
Quarterly Report Policy
Quarterly Report Template
Policy Clarification Memos
COVID Guidance & Proof of Diagnosis Guidance 06/2023
Denial Clarification – 08/2021
Disclaimer Memo – 03/2021
Eligibility Application Reminders – 07/2023
Emergency Financial Assistance Memo – 03/2021
Ryan White Universal Eligibility and Enrollment Forms
18-04- Universal Eligibility Application Updated 05/2023
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
18-04- Universal Eligibility Application (Spanish) Updated 05/2023
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
Federal Poverty Guidelines 2023 Updated 03/2023
Assistance Unit Determination Flow Chart Updated 03/2023
Universal Eligibility Manual Updated 06/2023
Service Taxonomy
Part A/MAI/EHE/Project Home – Service Entries Master List Updated October 2022