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The Early Intervention Program provides services to help
eligible
persons with HIV get the health care they need to improve and maintain
their health. Our services include:
- Prescription Medication Coverage - We maintain a formulary to
treat the early stages of HIV and many related conditions. For
clients with insurance, we pay co-pay costs for medications on our
formulary.
- Medical Care - We pay for limited HIV-related provider visits
and tests. Clients must go to
providers
(PDF 43.30KB) and labs that contract with us. For
clients with insurance, we cover only up to $1000 for deductibles and
costs during pre-existing condition periods for services on our
schedule of covered services
(PDF 51KB)
- Insurance Premium Payment Assistance - We help eligible
clients get medical insurance and pay the premiums. Individuals
must first enroll into the Early Intervention Program (EIP) and then also submit an
application to Evergreen Health Insurance Program (EHIP) which can be found at
www.ehip.org
- Medicare Part D - Early Intervention Program (EIP) has developed a Medicare Guidance that
explains what assistance Early Intervention Program (EIP) can provide for client's HIV care.
You can view or download this guidance by clicking on the
EIP Medicare Guidance (PDF
28KB)
link to the left
- Dental Services- Beginning 7/01/08, HIV Client Services,
Early Intervention Program is expanding the
EIP dental program
(PDF, 40KB) to clients residing within King County. Clients living
elsewhere in the State have been provided this service since 1/1/08.
Clients must go to Early Intervention Program (EIP) contracted
providers
(PDF 19KB) for Early Intervention Program (EIP) covered
dental services (PDF
32KB)
- Spenddowns that begin on or after April 1, 2009. However, we
can pay for HIV-related drugs. Clients can use our payments to help
meet their spenddown. Clients can take the
EIP Prescription Spenddown Receipt
with them to the pharmacy. Instructions are on the form.
Is there a cost for EIP services?
Some clients will be required to pay a monthly
cost share
(PDF 38.00KB)
to their pharmacy. This amount is based on insurance status and income level
at this time.
Eligibility and services are subject
to change. Please call us for additional information at
360-236-3426 or 877-376-9316 (toll free).
Documents for the Early Intervention
Program (also found on the Documents & Links
page)
Early Intervention Program Application -
English (PDF
82.75KB)
Early Intervention Program Application -
Spanish
(PDF 88.75KB)
Early Intervention Program Brochure
-English (PDF
235KB)
Early Intervention Program Brochure
- Spanish (PDF 232.26KB)
2009 Federal Poverty Level/Cost Share
Schedule- English (PDF 44.03KB)
2009
Federal Poverty Level/Cost Share Schedule- Spanish
(PDF 38.75KB)
Schedule
of Covered Dental Services (PDF 28.84KB)
EIP Contracted Dental
Providers
(PDF 25.42KB)
Schedule
of Covered Medical Services (PDF 54.15KB)
EIP Contracted Medical Providers
(PDF 43.30KB)
EIP Formulary
Trofile Prior Authorization Form (PDF
59.64KB)
EIP Eligibility Requirements
EIP Pharmacy Benefit Manager
EIP Medicare Guidance
(PDF 28KB)
Some files on this page require free readers.
Download a reader.
Alternative File Format Information
Documents posted in .pdf version on the Department of Health web site
will be made available on request to users who are unable to download or
view them. For persons with disabilities, .pdf documents will be
made available on request in other formats. To submit a request,
contact:
Sheila.Ichita@doh.wa.gov or
call 360-236-3430.
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