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Ryan White Emergency Assistance - Ohdap - Adap | Equitas Health

410 Park Avenue West, Suite 5 (rear), Mansfield, OH 44906

Access w/o Special Facilities|Designated Parking|Full Wheelchair Access|No Stairs in Service Delivery Areas.

Eligibility

Documentation of HIV, restricted to incomes limits of 300% Federal Poverty Guidlelines, documentation of income (pay stubs) or attestation of no income statement, proof of Ohio residency (Driver's license, state ID, utility bill). There are special enrollment procedures for people without documentation (undocumented, homeless).

Required documents

Documentation of HIV, restricted to incomes limits of 300% Federal Poverty Guidlelines, documentation of income (pay stubs) or attestation of no income statement, proof of Ohio residency (Driver's license, state ID, utility bill). There are special enrollment procedures for people without documentation (undocumented, homeless).

Hours

Appointment only. * Call Mon-Fri 9 am-5 pm to schedule.
(800) 332-2437

Voice - voice | Ohio Hotline Toll-Free

(833) 968-0317

Fax - fax | This is an email fax system

(419) 525-2437

Voice - voice | Ext #3200 is for attendant and voicemail

Languages

Language Line

Application process

Call to complete Initial Intake over phone. After that a Medical Case Manager will coordinate program enrollment by scheduling a time for phone based, agency based, or community based appointment. Successful program enrollment requires documentation of HIV, income (pay stubs) or no income statement, proof of Ohio residency (Driver's license, state ID, utility bill). There are special enrollment procedures for people without documentation (undocumented, homeless). Initial Intake takes about 20 minutes First full program enrollment takes about 1-2 hours.

Fees

No fees.

Service area

Ashland County, Ohio
Huron County, Ohio
Richland County, Ohio

Description

Provides medical case management and help with HIV related medical, dental, and mental health visits and payments. The OHDAP (Ohio HIV Drug Assistance program) is also coordinated through our agency. This program provides financial aid for HIV related medications and some medical insurance premium payments and co-pays.

Data provided by

211 Mansfield OH

Providing organization

Equitas Health

Provides Ryan White case management, prevention, education and support services.