Medical Case Management Standards

These standards, posted in Section III of the Service Delivery Guidelines portion of this page, are an essential component of the Ryan White Quality Management Program and form the basis for on-going monitoring and evaluation of Ryan White Program-funded medical case management agencies.

Areas of evaluation include:

Staff qualifications
Training
Access to care
Eligibility and financial assessment
Initial client health assessment
Plan of care development and monitoring
Adherence to treatment regimen
Referrals and follow-up
Updates to client records
Standards for documentation
Quality assurance and performance improvement
Compliance with requirements related to the Ryan White Program Service Delivery Information System (SDIS)
Permanency planning / Advance Directives
Case closure and case transfers
Program specific operating requirements