When it comes to streamlining eligibility management for Ryan White services, organizations often turn to CAREWare. But the real magic happens with the tools we build around it. At TriYoung, we don’t just leverage CAREWare—we amplify its utility with custom-built interfaces, automation, and integrated workflows. Our Ryan White Integrated Statewide Eligibility (RWISE) system is a game-changer designed to bring simplicity, clarity, and power to eligibility teams.
This isn’t about what CAREWare can do—this is about what TriYoung’s tools can do.
Centralized Web-Based Management: Your Eligibility Command Center
One Login, Many Functions
RWISE consolidates key eligibility tasks into a user-friendly web interface. From client intake to document processing, our system allows case managers, insurance specialists, and program managers to:
- Log in securely using two-factor authentication.
- View all pending referrals across roles and domains.
- Add, search, and update client records with real-time status tracking.
- Generate instant reports and error logs to manage workflow efficiently.
This eliminates the need for toggling between systems or waiting on batch updates. What CAREWare stores, RWISE makes actionable.
Streamlined Workflow Management
The Referral-First Workflow: Structured, Trackable, Transparent
At the heart of RWISE is our Referral-Based Workflow, which treats every eligibility case as a container (referral) that holds documents, statuses, communications, and attachments. Here’s what sets it apart:
- Create, update, and manage referrals directly within the interface.
- Clearly mark progress with custom statuses like “Pending,” “Completed,” “Rejected,” or “Lost to Follow-Up.”
- Attach documents (income, insurance, residency, diagnosis) with auto-sorting based on document type.
- Auto-generate letters for incomplete applications or missing items using a built-in correspondence module.
This structured design means no more hunting for missing information or wondering about the status of a client’s application.
Advanced Reporting and Dashboard Features
Custom Dashboards & Real-Time Eligibility Views
Unlike standard CAREWare reports, RWISE features tailored views like:
- All Pending Referrals screen to manage workloads and staffing.
- At-a-Glance screen for fast eligibility checks without opening full records.
- Eligibility Progress Dashboards that track renewal windows and recertification timelines.
The result? A comprehensive understanding of your client base with fewer clicks.
Document Management Revolution
Seamless EDMS Integration: Goodbye Paper, Hello Automation
The Electronic Document Management System (EDMS) built into RWISE changes how teams manage paperwork:
- Drag-and-drop functionality with intelligent document type detection.
- Review queues based on staff role (Eligibility vs. Insurance).
- Configurable logic to route attachments to the correct referral or trigger auto-launch workflows.
This is more than document storage—it’s automated intake and triage, built right into your workflow.
Automated Communication Tools
Letter Generation at Scale: Personalized, Programmed, Printable
Our Letters Tool turns a tedious task into a fast, scalable process:
- Generate Daily Eligibility, Incomplete Application, Insurance Premium Assistance, and Monthly Renewal letters in bulk or individually.
- Tailor content based on referral progress and letter reason dropdowns.
- Track delivery status in the client record for audit and compliance purposes.
And yes, this system replaces legacy Access databases with modern browser-based functionality—no special software required.
Specialized Insurance and ADAP Management
Smart ADAP & Insurance Tracking Specialists
- Record premium payment data, APTC amounts, start/end dates, and subsidy info.
- Historic ADAP service entries are visible for up to 18 months.
- Insurance plans are validated against enrollment status with automated eligibility consequences.
By embedding these functions, RWISE ensures Ryan White remains the payer of last resort—and documentation proves it.
Built for Compliance and Flexibility
Designed with Flexibility & Security in Mind
RWISE is tailored for each jurisdiction. Whether you’re managing Ryan White Part A or B, the platform:
- Supports manual updates for Super Users to correct eligibility info fast.
- Allows for client re-enrollment when people return to services mid-cycle.
- Complies with HRSA reporting requirements through structured data collection (RSR-ready).
Transform Your Eligibility Management Today
Final Thought: More Than an Interface—It’s an Ecosystem
TriYoung’s RWISE system doesn’t just make CAREWare easier to use—it makes it strategically powerful. Our tools support entire teams—from client intake through eligibility recertification—while maintaining compliance, reducing human error, and improving service delivery.
If your organization is ready to modernize eligibility workflows and elevate CAREWare’s impact, RWISE is how you do it.
Learn more at TriYoung.com/RWISE and contact us for a customized demo.
Frequently Asked Questions About RWISE
About the Author: Lisa Alaniz
