Early Intervention Program Benefits
The Early Intervention Program provides services to help eligible persons with HIV get the health care they need to improve and maintain their health. Unless otherwise noted, all materials and forms
on this page are in PDF format.
Links to external resources are provided as a
public service and do not imply endorsement by the Washington State
Department of Health.
EIP Card & How to Use It
The Washington State Early Intervention Program (EIP) helps eligible persons who live in Washington get
health care for their HIV. EIP is not insurance. EIP is a program that helps pay for a variety of HIV services including health insurance premiums.
Once you are approved for EIP coverage, you will receive an eligibility letter and
EIP Medical ID card. You must show your card to each provider at every visit.
You must go to providers who contract with EIP. This card will notify your
provider that they should bill your insurance company and EIP.
EIP Card with Instructions (79KB)
Medical & Mental Health Care
We pay for limited HIV-related provider visits and tests. Clients must go to providers 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.
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Dental Care
Early Intervention Program expanded the EIP Dental Program to clients residing within King County. Clients living elsewhere in the State received this service since 1/1/08. Clients must go to Early Intervention Program (EIP) contracted Dental Providers (41KB) for Early Intervention Program (EIP) Covered Services.
Am I eligible?
You are eligible if you:
- Have EIP eligibility (excluding temporary eligibility).
- Do not have dental insurance or other dental coverage such as Medicaid.
What do I need to know about EIP dental?
EIP pays for a broad range of basic services, but does not pay for
all dental services. See EIP Covered services. You must go to a dentist who contracts with EIP. You can find the list
of contracted dentists at Early Intervention Program (EIP) contracted
Dental Providers (41KB). EIP can pay up to $2500 per person per calendar year.
What dentist can I go to?
Your current dentist only if he/she contracts with EIP.
Any dentist on EIP’s list of contracted providers who is accepting new
clients.
How can I get more info?
Call EIP or a local case management agency or AIDS Care Access Project (ACAP)
to get the names of contracted dentists in your area.
Ramsell Pharmacy Benefit ID Card
The Early Intervention Program helps eligible residents of Washington State get health care for their HIV. EIP is a program of the Washington State Department of Health. EIP contracts Ramsell Public Health Rx to provide Pharmacy Benefit Services for EIP clients.
Ramsell Pharmacy Benefit ID Card Instructions
(132KB)
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List of Covered Services for Groups 1, 2 & 3
Covered Services for
Group 1 EIP Clients
(158KB)
Chart of covered services for Group 1 including code,
description and maximum payment. Providers must have a
contract with DOH prior to services. Clients must be approved
for EIP by DOH
prior to services.
Covered Services for
Group 2 EIP Clients
(96KB) Chart of covered services for
Group 2 including code, description and maximum payment.
Providers must have a contract with DOH prior to services. Clients
must be approved for EIP by DOH prior to services.
Covered Services for
Group 3 EIP Clients
(71KB) Chart of covered services for
Group 3 including code, description and maximum payment.
Providers must have a contract with DOH prior to services. Clients
must be approved for EIP by DOH prior to services.
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Provider Lists
These documents list: - medical
- laboratory
-
radiology
- mental health providers
for the Department of
Health HIV Early Intervention Program. They include name, address, city and phone, grouped by county.
EIP Provider List 2011
(134KB)
EIP Contracted Mental Health Providers (128KB)
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H1N1 (Swine Flu) Information
H1N1 vaccine administration now included in the Schedule of Medical Coverage and Maximum Allowances.
Learn about the Novel H1N1 virus (formerly called
swine flu), at the Department of Health.
http://www.doh.wa.gov/panflu/h1n1.htm
Learn what Adults with HIV Infection should Know about the Novel H1N1 virus
from the Centers for Disease Control.
http://www.cdc.gov/h1n1flu/hiv_flu.htm
Clinicians: Interim guidance for HIV-Infected Adults and Adolescents and the Novel H1N1 flu
virus from the Centers for Disease Control.
http://www.cdc.gov/h1n1flu/guidance_HIV.htm
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