Miami-Dade County Office of Management and Budget
Grants Coordination/Ryan White Program
FY 2026 (Year 36) Service Delivery Manual
Section I, Page X of X
Effective March 1, 2026
(unless otherwise noted herein)
Housing Services is a support service that provides transitional, short-term, or emergency
housing assistance to enable a client or client’s family to gain or maintain critical
outpatient/ambulatory health services and treatment, including temporary assistance necessary
to prevent homelessness and to gain or maintain access to medical care. Activities within the
Housing Services category must also include the development of an individualized housing
plan, updated annually, to guide the client’s linkage to permanent housing.
Housing Services activities also include housing referral services, including assessment,
search, placement, and housing advocacy services on behalf of the eligible client, as well as
fees associated with these activities.
This service would only be used if the Housing Stability Services Program under Ending
the HIV Epidemic (EHE) is no longer funded.
A. Program Operations:
A “housing is healthcare” approach requires first 1) stabilizing the client’s housing situation,
and then 2) addressing any additional client needs. Providing housing support to clients will
help ensure their ability to secure and/or maintain safe, decent, and affordable housing.
Linkage to and retention in ongoing core medical and behavioral health services available
throughout the community (e.g., medical care, antiretroviral medications (ARVs), medical
case management, mental health counseling, substance use disorder services, etc.) are
required. Services include (1) rental and utility subsidies, (2) linkage to additional services,
(3)case management to develop and implement a plan to ensure ongoing housing stability,
and (4) securing permanent tenant based rental assistance or placement in permanent
supportive housing.
1) Access to Rental and Utility Assistance
Facilitate enrollment into the Housing Services program for low-income people with
HIV in need of rent and/or utility assistance in order to secure or maintain housing,
employing a ‘housing is healthcare’ approach that minimizes obstacles to housing
assistance and promotes sobriety, treatment and/ or service participation.
2) Client Action Plans to Address Unmet Needs, Including Provision of Services
through Partnerships and Other Stakeholders
Conduct ongoing case management to create and tailor client action plans designed to
identify and address clients’ unmet needs and goals. Supportive services should be
HOUSING SERVICES
(Year 36 Service Priority: #11 for Part A)
Miami-Dade County Office of Management and Budget
Grants Coordination/Ryan White Program
FY 2026 (Year 36) Service Delivery Manual
Section I, Page X of X
Effective March 1, 2026
(unless otherwise noted herein)
regularly reviewed and actively offered to persistently engage program participants to
ensure housing stability and optimal wellbeing. This includes connecting clients to
appropriate voluntary wraparound services to respond to additional barriers that may
hinder treatment adherence and sustained viral load suppression. Adherence to
medical appointments and viral load suppression must be regularly monitored and
supported through the offer of appropriate supportive services. While not a condition
of ongoing housing support, this is strongly encouraged.
3) Housing Stability Planning
Work with each program participant to develop and implement a concrete housing
stability plan to sustain safe and stable housing. This planning should include referrals
for access to vocational and life skills training including job readiness. Referrals should
also be made to SSI/SSDI Outreach, Access, and Recovery (SOAR) providers, as
applicable. Planning should also include identification and application for permanent
housing subsidies and support for those unable to secure employment at a wage
sufficient to support housing costs. Documentation of attempts to connect the client
to permanent housing must be included in the client chart.
B. Components:
1) All direct rent and other costs must be allowable, allocable, and reasonable in
accordance with Uniform Guidance, 45 CFR part 75. Please note that Housing
Support cannot be in the form of direct cash payments to clients, and cannot be used
for mortgage payments or rental deposits, although these may be allowable costs
under the HUD Housing Opportunities for Persons with AIDS (HOPWA) grant
awards. Please refer to HRSA Policy Clarification Notice (PCN) No. 16-02 for
further information and program guidance.
2) Housing Services providers conduct a comprehensive assessment at intake to determine
clients’ needs, skills, employability, etc. with the goal of transitioning the clients to
permanent housing.
3) Housing Services providers conduct an assessment of clients’ health status including
viral load (VL), and make referrals to HIV medical care and other healthcare programs
and services, as appropriate.
4) Housing Services providers offer and, as appropriate, provide wraparound supportive
services in alignment with clients’ goals and demonstrated unmet need, including the
provision of housing sustainability planning; and periodically monitor clients’ overall
progress to provide further support and interventions as necessary.
Funded organizations must comply with the requirements set forth in all applicable State and
Federal laws including the Health Insurance Portability and Accountability Act of 1996
Miami-Dade County Office of Management and Budget
Grants Coordination/Ryan White Program
FY 2026 (Year 36) Service Delivery Manual
Section I, Page X of X
Effective March 1, 2026
(unless otherwise noted herein)
(HIPAA) (i.e., engage and work with landlords to ensure placement and provide the service
without revealing a client’s HIV status). The privacy of program participants’ health
information must be protected at all times. There must not be any reference to the “Ryan
White Program” or anything that might disclose someone’s HIV/AIDS status in any
agreement(s) and / or related documents between funded providers and landlords.
C. Client Eligibility:
Clients qualify if their annual household income is at or below 400% FPL.
D. Program Limits:
Program-eligible individuals experiencing homelessness or housing instability may receive up
to 24 months of assistance starting from the date of each client’s enrollment for this service,
subject to available funding.
Monthly assistance is limited by Fair Market Rates, i.e. if the client has a lease for a one
bedroom apartment, assistance for FY 2026 is limited to $1,995. Housing and Urban
Development (HUD) fair market rates are published annually by geographic area at
https://www.huduser.gov/portal/datasets/fmr.html.
Final FY 2026 FMRs By Unit Bedrooms for Miami-Miami Beach-Kendall, FL
FY 2026 Fair
Market Rate
Efficiency One
Bedroom
Two
Bedroom
Three
Bedroom
Four
Bedroom
$1,828 $1,995 $2,436 $3,127 $3,613
Clients may not access the Ryan White Program Housing Emergency Financial Assistance
component at the same time as this service.
Because the Ryan White Program is the payor of last resort, clients receiving assistance
from the HOPWA Long-Term Rental Assistance program, the Section 8 Housing Voucher,
the Veterans Affairs Supportive Housing program or similar long-term assistance are not
eligible for this service.