Ryan White Program Eligibility

The Ryan White Program offers a variety of core medical and support services for people who meet specific eligibility requirements.  To be considered Ryan White Eligible (RWE) the following conditions must be met.

  • Patient must be HIV Positive
  • Proof of NC residency
  • Proof of Income - is less than or equal to 400% Federal Poverty Level

Documents you need to bring to office

Proof of Income

  • Most recent paycheck stub (showing year to date income and deductions) and copy of Income Tax Return for the previous year
  • Most recent paycheck stub (showing year to date income and deductions) and last paycheck stub (showing year to date income and deductions) for previous year
  • Most recent paycheck stub (showing year to date income and deductions) and Form W-2 for previous year
  • Most recent paycheck stub (showing year to date income and deductions) and Form 1099 for previous year (or most recent earning period if 1099 is not yearly)
  • Most recent Social Security income letter
  • Documentation of other sources of income (e.g. Unemployment)

Proof of North Carolina Residency

  • Copy of valid NC Driver's License or government-issued identification card with name and home address
  • Copy of a utility bill or lease with applicant's name and current address
  • Anything with applicants' name and home address or the Ryan White Part B & HMAP Declaration of Residency (clients will be expected to provide a preferred or other acceptable documentation of residency by the next renewal period)

Proof of Insurance or Medicare/Medicaid

  • Copy of insurance card(s)
  • If there is an insurance cap, letter/summary from insurance company or specific proof from the insurance policy
  • Copy of Medicare card (If income is at or below 150% of the Federal Poverty Guidelines, client must apply for Social Security's low-income subsidy (LIS) also known as "extra help"
  • Copy of Medicare Part D plan card (this is different from the Medicare card)
  • Copy of Medicaid card

If you have any questions please contact one of the Ryan White (RW) / HMAP Case Managers below:

RW Eligibility/HMAP Coordinator
Stacey Hargrove
hargrovest@ecu.edu
252-744-5831

RW Eligibility/HMAP Coordinator
Diana Goodie
goodied14@ecu.edu
252-744-2026