Programs

Client and Housing Assistance Programs

ACT assists individuals and families with meeting emergency expenses through the Client Assistance Fund (CAF), and with obtaining and maintaining housing through the Housing Assistance Fund (HAF).

PLEASE NOTE: The application procedures and forms provided below are for case managers. All applicants MUST apply for assistance through a case manager. If you don't have a case manager CLICK HERE for a list of agencies that provide HIV/AIDS case management. For a list of other agencies providing services in the Greater Hartford TGA CLICK HERE.

For case managers seeking additional guidance on completing an application for CAF or HAF, CLICK HERE to view an informational presentation or send your questions to cafhaf@aids-ct.org.


Client Assistance Fund (CAF)


The Client Assistance Fund is a set of services funded by the federal Ryan White HIV/AIDS Program for people living with HIV/AIDS. For Ryan White Part A, applicants must reside in Hartford, Tolland, or Middlesex county. CLICK HERE for a list of towns covered by RW Part A Transitional Grant Area (TGA). For RW Part B, preference will be given to those applicants residing in Tolland County or outside of the Hartford TGA. Clients who have capped out of RW Part A funds will also be considered.

Applicants must apply for assistance through a case manager or social worker. If you do not have a case manager CLICK HERE to view a list of agencies that provide HIV/AIDS case management. For a list of other agencies providing services in the Greater Hartford TGA please CLICK HERE.

Please Note: If the documentation is in CAREWare then the applicant only needs to send the request forms. In this case, we will need a CareWare referral and ACT will initiate clinical and service sharing requests.

  • Medical Fee for Services
  • Lab Fees
  • Medications and co-pays
  • Health Insurance Premiums
  • Emergency Financial Assistance (Utilities)
  • Medical Transportation
To access most services, a client must be certified as Ryan White eligible. Eligibility consists of:

  • HIV+ diagnosis or affected by HIV or AIDS
  • Income under 300% of federal poverty guidelines, based on gross income
  • In cases where the client is affected rather than infected, the service(s) must be intended to provide direct benefit for the infected individual(s)
  • Resident(s) of the Greater Hartford Transitional Grant Area (TGA) living in Hartford, Tolland, or Middlesex County
  • Additional requirements are found in the application depending on the service requested
Applicants must apply for financial assistance through a case manager or social worker from the Greater Hartford TGA. If you do not have a case manager CLICK HERE to view a list of agencies that provide HIV/AIDS case management. The case manager is responsible for determining your eligibility and must submit a completed application packet to ACT.
Your case manager will need the following information from you in order to apply for assistance:

  • Documentation of HIV status and a CD4/VL done within the last six months
  • Ryan White Client Intake or CareWare Form
  • Ryan White Eligibility Worksheet and Financial Documentation (updated every six months)
  • Referral form
  • CareWare Sharing Agreement (external agencies only)
  • Release of Information
  • ACT Policy and Procedures Agreement
  • Additional requirements are found in the application depending on the service requested
PLEASE NOTE: Applying case managers MUST use the CAF Fax Checklist Cover Sheet.
  • Any entitlements (e.g. SAGA, SSI, SSD, TANF, VA, etc.)
  • Any income from employment. If someone works under the table, we need a notarized letter documenting what income they’re receiving and from what source(s)
  • Income from all household members (e.g. husband, wife, partner, roommate, children, etc.)
  • TPQY (Third Party Query - verifies SSI benfits)
  • 4 consecutive RECENT paystubs if they get paid weekly, or two consecutive bi-weekly paystubs
  • Notarized letter indicating hours worked, services performed, and income
  • If they have no income, a signed no income affidavit

Housing Assistance Fund (HAF)


ACT has three Housing Assistance Fund programs. Ryan White Part A for the Hartford TGA (Hartford, Middlesex and Tolland Counties), Hartford HOPWA (Hartford County only), and Ryan White Part B (Balance of State – Tolland County and outside of the Hartford TGA). Applicants do not have to apply to a specific program, as that will be determined by the ACT HAF Team.

Applicants must apply for housing assistance through a case manager or social worker. If you do not have a case manager CLICK HERE to view a list of agencies that provide HIV/AIDS case management. For a list of other agencies providing services in the Greater Hartford TGA please CLICK HERE.

Please Note: If the documentation is in CAREWare then the applicant only needs to send the request forms. In this case, we will need a CareWare referral. ACT will initiate clinical and service sharing requests.

PART A and B HAF

  • First month's rent (with documentation that the client has paid the Security Deposit)
  • Arrearage/back rent up to $800 for Part A, two month’s rent Part B
  • One time emergency housing payment up to $800 (Part A)
  • Up to 24 months of short-term rental assistance at $150/month (must re-apply every 6 months)
HOPWA (Hartford County only)

  • One time emergency housing payment of up to two month’s rent
  • Short-term rental assistance at $150/month
Applicants must satisfy all of the Ryan White requirements as well as the following to access the fund:

  • Paying 40 – 80% of net income to rent
  • Depending on circumstances:
    • Have an eviction notice/notice to quit
    • Have sudden and temporary loss of income
    • Have sudden and temporary increased expenses, with justification and documentation
Applicants must apply for housing assistance through a case manager or social worker from the Greater Hartford TGA. If you do not have a case manager CLICK HERE to view a list of agencies that provide HIV/AIDS case management. The case manager is responsible for determining your eligibility and must submit a completed application packet to ACT.
Your case manager will need the following information from you in order to apply for assistance:

  • All of the same documentation as Part A CAF
  • W-9 signed by landlord (IRS requirement)
  • Two-page Use of Funds forms which includes documentation of a long term housing plan
  • Evidence client has exhausted all other housing assistance options
  • Rental Verification Form