Get Rw Efha Request Forms Packet-updated 7-1-14robert Draft.docx - Cardeaservices

Completing the RW EFHA Request Forms Packet is essential for case managers and social workers to request emergency financial and housing assistance for Ryan White eligible clients. This guide provides clear, step-by-step instructions to help you navigate the process efficiently and effectively.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form and open it in an editor.
2. Begin with the Ryan White Program Eligibility Verification Form. Ensure all fields are filled accurately, including information about the client's HIV status, income, health insurance, and residency in Alameda County.
3. Gather proof of the client’s need for assistance. This may include documents such as delinquency notices from utility companies, lease agreements, or proof of income. Make sure the client's name or address is present on all documents.
4. If the client is not already entered into ARIES, do so and print the ARIES Identifier Page.
5. Facilitate the client’s reading and signing of the Consent to Enroll in EFHA Program and Release of Information Form. This step is mandatory.
6. Complete the RW EFHA Request Form, ensuring all fields are filled in correctly and clearly.
7. Fax all required documents, including the completed forms, to (510) 210-1304 with attention to the EFHA Program for processing.
8. Keep a copy of all submitted documents, including the signed consent, for your records.
9. Inform the client about the assistance limitations, explaining that support is limited to a maximum of two assists per year in each request category.
10. Confirm receipt of your fax by contacting Gracie Askew at Cardea via phone or email, ensuring that no client names are included in the correspondence.
11. Finally, allow 3-5 business days for Cardea to process the request before following up if necessary.

Complete your documents online today to ensure timely assistance for your clients.