Provider Resources and Education

Amida Care Community Figures 2


Live Your Life Undetectable Program Information and Forms

The Live Your Life Undetectable (LYLU) program helps Amida Care members living with HIV become virally suppressed. Participants who enroll in the program with an undetectable viral load or who become undetectable (<200 copies/ml) through participation will receive a financial incentive of $100 for each quarter (three-month period) that they stay undetectable.

Below you will find links to the information and resources you’ll need to support your patients who are eligible for this program:

  • LYLU Provider Training Deck: The information presented during the provider training webinars can be downloaded here, as a refresher or for those who are not able to participate live.
  • LYLU Quick Reference Guides:
  • Forms: Required for patient enrollment, assessment, and ongoing reporting.
    • LYLU Participant Enrollment and Consent (Enrollment) – Review and discuss program requirements with patient and complete form electronically with and on behalf of patient. A completed and signed form is required for patient enrollment. English / Spanish
    • RHIO Consent (Enrollment) – Review RHIO benefits with patient and complete electronically with and on behalf of patient. English/Spanish 
    • LYLU Comprehensive Needs Assessment (Enrollment) – This assessment (or an equivalent) will help you decide which LYLU supportive services are most appropriate for your patients. An assessment is strongly encouraged but not required for program enrollment. English / Spanish
    • LYLU Provider Quarterly Attestation (Ongoing Reporting) – This form must be completed by you or your staff and submitted each calendar quarter for each Amida Care LYLU Program enrolled patient to be eligible to receive their $100 incentive.
  • ShareFile Guide: All forms must be completed electronically, printed, signed, scanned, and securely submitted to Amida Care via the ShareFile system. This Quick Reference Guide gives you easy three-step instructions on setting up your ShareFile account.

Documents and Forms

Provider Manual
Amida Care Formulary

Transgender Coverage Information:

Provider Modification Form
When you are changing your practice name, address, phone numbers, e-mail, billing company, or other practice information, you only need to complete this single form and send it via:
Email:, fax: 646-786-1803, or US mail: Amida Care, Inc. c/o Provider Services 14 Penn Plaza, 2nd Floor. New York, NY 10122.
AC Fax Form for Case Submission
This form is only for Medical UM requests.
NYCDOHMH Universal Reporting Form (URF)
Communicable disease reporting and the Universal Reporting Form (URF). For any questions or to report cases immediately, call the DOH Provider Access Line at 1-866-NYC-DOH1 or, after hours, the Poison Control Center at 1-800-222-1222.

For questions about specific Amida Care policies or requirements, please contact us at: 1-800-556-0674.

Clinical Practice Guidelines

NOTE: Amida Care partners with Beacon Health Options to manage behavioral health care and to provide a network of physicians, other licensed professionals, community agencies, and inpatient and outpatient facilities for a full spectrum of behavioral health services that includes mental health and chemical dependency services. Beacon Health Options adopts guidelines for Behavioral Health that are consistent with current standards of care. Amida Care reviews and adopts the behavioral health clinical practice guidelines as recommended by our partner Beacon Health Options.

Behavioral Health

Pediatrics and Adolescents

Educational Opportunities

New in Cases on the Web

Immunizations for HIV-Infected Adults
Brian T. Montague, DO, MS, MPH; Steven C. Johnson, MD

Vaccination against preventable infectious diseases is a key component of comprehensive primary care for HIV-infected persons. Particularly for persons who have not yet achieved viral suppression on antiretroviral therapy or who experience incomplete or delayed immune reconstitution, the risk of infection is higher as is the risk of substantial morbidity associated with infections, including human papillomavirus (HPV)-related cancers.

Despite the acknowledged importance of vaccination, immunization rates among HIV-infected persons have historically been less than optimal. Potential barriers to adequate immunization include competing demands in the context of care visits related to other acute health concerns, practitioner belief that immunizations should be delayed until patients are stable on treatment, lack of practitioner awareness of specific immunization recommendations for HIV-infected persons, inadequate systems for tracking of immunizations, and, for some, patient resistance to immunization.

This Cases on the Web activity reviews immunization recommendations for HIV-infected persons, including the recommended vaccines and schedules, considerations for the timing of vaccinations based on immunologic status, and guidance for immunizations in the context of international travel.

On completion of this activity, the learner will be able to:

      • List the recommended immunizations for adults living with HIV infection
      • Provide specific immunization guidance based on an individual’s immunologic status and assessed risk
      • Identify contraindications to specific immunizations for persons with substantial immune deficiency
      • Identify interactions among vaccines that may impact the timing of vaccine administration
      • Provide guidance regarding immunizations appropriate for persons with HIV infection who are travelling internationally

Visit to start learning from this new COW activity now!

Continuing Education Credits

 CME Credits

The International Antiviral Society–USA (IAS–USA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The IAS–USA designates this live activity for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity is offered from July 13, 2017, to July 13, 2018. Physicians (MDs, DOs, and international equivalents) who successfully complete the activity posttest and submit the evaluation and registration forms are eligible to receive CME credit. Other health care professionals will receive a Certificate of Participation.

Nursing Continuing Education Contact Hours

Educational Review Systems is an approved approver of continuing nursing education by the Alabama State Nursing Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Provider # 5-115. This program is approved for 1.5 hours of continuing nursing education.

Educational Review Systems is also approved for nursing continuing education by the state of California, the state of Florida and the District of Columbia.

Program expires 7/12/2019.

Pharmacy Continuing Education Contact Hours

Educational Review Systems is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This program is approved for 1.5 hours (0.15 CEUs) of continuing pharmacy education credit. Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test. Participants must participate in the entire presentation and complete the course evaluation to receive continuing pharmacy education credit.
UAN # 0761-9999-17-037-H02-P

Program expires 7/12/2019.

Upcoming Live Courses From IAS-USA

 This spring, IAS–USA live courses will take place in the following cities:

Full-Day Course on HIV and Hepatitis C Virus Management
New York, NY — October 20, 2017

Half-Day Workshops on Evolving Strategies in Hepatitis C Management
Little Rock, Arkansas — September 18, 2017
Nashville, Tennessee — September 29, 2017
Louisville, Kentucky — November 17, 2017
Milwaukee, Wisconsin — November 28, 2017
Oklahoma City, Oklahoma — November 29, 2017

For detailed information, including who should attend, location, agenda, and online registration, visit

2017 Grant Support

 This activity is part of the IAS–USA national educational effort that is funded, in part, by charitable contributions from commercial companies. Per IAS–USA policy, any effort that uses commercial grants must receive grants from several companies with competing products. Funds are pooled and distributed to activities at the sole discretion of the IAS–USA. Grantors have no input into any activity, including its content, development, or selection of topics or speakers. Generous support for this activity has been received from the following contributors:

For our HIV effort:

ViiV Healthcare

Gilead Sciences, Inc

Bristol-Myers Squibb
Janssen Therapeutics


For our viral hepatitis effort:

Gilead Sciences, Inc