County of Marin Health and Human Services

Ryan White Funded HIV/AIDS Services Program

Information on Service Adjustments During the COVID-19 Emergency

HHS is the County's largest department with more than 700 employees who work at many sites throughout Marin. Many HHS offices have reopened with limited staffing to the public. Staff will continue to provide services remotely when possible for safety reasons, and residents in need of HHS services should consider conducting conversations over the phone or email when possible. Please call ahead if you have an appointment or require in-person assistance.

  • Adult Protective Services: (415) 473-2774.
  • Skilled Nursing/Assisted Living Ombudsman: (415) 473-7446.
  • Child Protective Services: (415) 473-7153.
  • Public Assistance Call Center (Medi-Cal, CalFresh, CalWorks): 1 (877) 410-8817, or visit c4yourself.com.
  • General Relief: (415) 473-3450.
  • Behavioral Health and Recovery Services Access Line: 1 (888) 818-1115.
  • For information on resources and services specifically for older adults (persons 60+), persons with disabilities and family caregivers, call (415) 473-INFO (415) 473-4636 or email 473-INFO@marincounty.org.
  • HHS created a phone hotline, (415) 473-7191 (CRS 711), and an online contact form, for residents to contact staff with questions or concerns about the virus and about the county and community response. The call center is open from 9:30 a.m. to noon and 1 to 5 p.m. weekdays, and interpreter services are available.
  • Dial 711 for CA Relay Service (link is external)

About Us:

The Ryan White Treatment Extension Act is federal legislation that addresses the unmet health needs of persons living with HIV/AIDS (PLWHA).

  • This Act is intended to help communities and states increase the availability of primary health care and support services in order to reduce utilization of more costly inpatient care, increase access to care for underserved populations, and improve the quality of life of those affected by the epidemic.
  • The priority is to ensure that clients ultimately receive primary care, which includes maintenance or initiation of treatment according to Public Health Services guidelines and adherence to medication regimens, leading to improved health outcomes.
  • These services are intended for low-income, underinsured, and uninsured persons living with HIV.  They are funds of “last resort,” meaning that all other funding sources for a service including health insurance must be exhausted before using Ryan White funds for the service.
  • For more detailed information on the Act, refer to the Care Council New Member Orientation Handbook (link is external).

Eligibility for Ryan White-funded Services:

In order to enroll for Ryan White-funded services, all consumers must provide proofs of eligibility every six months. The first time you go to receive Ryan White-funded services, you will need to bring proof of identification, proof of residency, proof of HIV diagnosis, and proof of meeting low-income requirements. Ryan White services and medications are free for those with an income under $62,450 (500% FPL) regardless of immigration status. 

The table below shows what documentation you can use to prove your eligibility:

Proof of Identification Proof of Marin Residency Proof of Income Proof of HIV Diagnosis
Driver’s license Utility bill State/Federal tax return indicating adjusted gross income Diagnosis letter from doctor’s office on MD stationery
Immigration card Lease/mortgage statement W-2 or 1099 form Lab test results with CD4  
and/or viral load test
State ID card Support affidavit Current pay stub Positive test result from ELISA and/or Western Blot HIV test (not anonymous)
Passport Letter from a shelter Bank statement indicating direct deposited income  
Photo ID from another Country   Disability award letter (e.g. SSI, SSDI, SDI)  
    Self-employment affidavit  
    Support affidavit