HIV Care and Services
AIDS Drug Assistance Program (ADAP)
What Is ADAP?
The Arizona Department of Health Services (ADHS) is responsible for the administration of ADAP for the state of Arizona. ADAP provides access to medications used to treat HIV and prevent the onset of related opportunistic infections to low-income individuals with HIV disease who have limited or no coverage from private insurance or Medicaid.
What Is ADAP Assist?
ADAP Assist is co-pay assistance for ADAP clients who have private insurance, Medicare, or pre-existing condition insurance plan Pre-existing Condition Insurance Plan (PCIP). When we receive an ADAP application for a client who is insured or eligible for insurance, we ask for premium, formulary and co-pay information. ADAP needs this information to determine whether the coverage is adequate and affordable. Adequate means the insurance will cover the antiretroviral (ARV) drug therapy. Affordability is determined by adding the yearly premium and co-pays and comparing the total to the Health Resources and Services Administration (HRSA) affordability guidelines (see below). If the client’s premium and co-pays for the year are more than 5 or 7% of their income, then the insurance is deemed unaffordable and the client is enrolled in ADAP Assist. If premium and co-pays are affordable, then the client will not be eligible for ADAP Assist.
- 100-199% Federal Poverty Level (FPL) = 5% of annual income = affordability
- 200-300% FPL = 7% of annual income = affordability
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Please click on the frequently asked questions below to see their answers.
How do I enroll in ADAP/ADAP Assist?
You can get an application and assistance with filling out your application through your doctor, case manager, or health department.
The ADAP application process has become complicated and we highly recommend that applicants work with a case manager. We believe that working with a case manager to complete your application will help make sure a complete and accurate application is submitted and processed in a timely fashion.You can also download an application, complete it, and submit it yourself by mailing or faxing the application to ADAP, or bringing the application directly to the ADAP office:
The ADAP office is located at:
Arizona Department of Health Services
150 N. 18th Ave Suite 110
Phoenix, AZ 85007
How Do You Qualify For ADAP?
You must be HIV-infected and a resident of Arizona. Annual income is set at 300% of federal poverty level. For example, you cannot have an income of more than $34,470 for a family unit of one.
You cannot be eligible for AHCCCS (Arizona’s version of Medicaid). To ensure that Ryan White Part B is the payer of last resort for ADAP, all individuals applying for ADAP are screened for AHCCCS eligibility, which means all applicants must have AHCCCS denial letters. ADAP clients will be required to provide documentation of Arizona residence.
Do You Have to Wait for an AHCCCS Denial Letter Before Submitting an ADAP Application?
ADAP will provide a 45 day provisional enrollment to an otherwise ADAP-eligible client as long as you provide proof of a complete AHCCCS application for AHCCCS Medical Services. Proof of an AHCCCS application for AHCCCS Medical Services includes a copy of the complete application submitted online through Health-e-Arizona.org. We recommend that you work with a case manager to complete your application to AHCCCS.
What If I Have Medicare?
If you are eligible for Medicare, you must sign up for Medicare Part D prescription coverage and provide us with a copy of your Medicare prescription card or a copy of a letter from the company that provides your drug plan. You are also required to provide a copy of the current determination letter from the Social Security Administration(SSA) Medicare Prescription Drug Assistance Program that shows you are not eligible or only partially eligible for Extra Help (low-income subsidy). ADAP will provide a 45 day provisional enrollment pending receipt of a copy of your Medicare prescription card and/or your LIS determination letter.
When Reporting Household Information on the ADAP Application, What Exactly Does Household Mean?
Household is every person that is living with you that is related to you by legal marriage, birth, or adoption. For example, a household could be you, your mother and your brother. If your stepfather lives with you, as another example, he would not be counted in the household information because he is not related to you.
What If My Medical Provider Disagrees With A Decision Made By ADAP Staff Regarding ADAP Medications That Were Prescribed?
Your medical provider can review the ADAP Formulary Committee Provider Dispute Policy and Procedures.
What if I disagree with determinations made by the ADAP program?
You can file a dispute or appeal.
What if I am unhappy with the way I've been served/treated?
You can file a grievance expressing your dissatisfaction.
What if I have additional questions?
If you have any further questions or concerns about the ADAP Program, you may call us at (800) 334-1540 or (602) 364-3610