• Main

• AIDSNETs

• Clinician Resources

• Documents & Links

• Early Intervention
     Program

• Health Care Programs

• Pharmacy Benefits

• Quarterly Update

• Ryan White Program

• Title XIX Agencies

• Title XIX Case
     Management

• Staff

• Steering Committee

Download a reader

Documents

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 237KB)

 2009 Federal Poverty Level/Cost Share Schedule - English (PDF 38.00KB)

 2009 Federal Poverty Level/Cost Share Schedule - Spanish (PDF 38.75KB)

 Schedule of Covered Dental Services  (PDF 28.75KB)

 EIP Contracted Dental Providers (PDF 25.37KB)

 Schedule of Covered Medical Services  (PDF 68.40KB)

EIP Contracted Medical Providers (PDF 43.35KB)

 EIP Formulary

Trofile Prior Authorization Form  (Word 50KB)

EIP Medicare Guidance (PDF 28KB)

Maternal HIV Infection Booklet  (PDF 336KB)

Prescription Spenddown Receipt (PDF 66.84KB

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 or call 360-236-3430.

Links

Please note: By choosing the links on this page you will leave the HIV Client Services web site.  Links to external resources are provided as a public service and do not imply endorsement by the Washington State Department of Health.

Program Related Links:

• Evergreen Health Insurance Program (EHIP)

• Washington State Health Insurance Pool (WSHIP)

• Medicaid

• Ryan White CARE Act Information

• Ramsell Public Health Rx (Formerly Public Health Service Bureau)

Miscellaneous Links:

• HIV/AIDS Prevention and Education Services 

• Other HIV sites in IDRH 

• HIV/AIDS Policy Tool Kit from CDC

• Healthcare for Workers with Disabilities (HWD)

• Ticket to Work and Work Incentives Improvement Act

• Safe Food & Water: A Guide for People with HIV Infection

DOH Home | Access Washington | Privacy Notice | Disclaimer/Copyright Information

Washington State Department of Health
HIV Client Services
P.O. Box 47841
Olympia, Washington, 98504-7841

Last Update : 10/20/2009 01:58 PM
Send inquires about DOH and its programs to the Health Consumer Assistance Office
Comments or questions regarding this web site? Send mail to Sheila Ichita.