ADAP Directory

Directory of AIDS Drug Assistance Programs

New Hampshire

The AIDS Drug Assistance Program ( ADAP ) helps ensure that people living with HIV and AIDS who are uninsured and under-insured have access to medication.

Eligibility Criteria: 

To be eligible for medical assistance through the Ryan White CARE Program, a person must be a NH resident living with human immunodeficiency virus (HIV) or a child exposed to HIV through its mother during pregnancy, and meet one of the following specific financial requirements:

  • Your gross annual household income cannot exceed 400% of the Federal Poverty Level (FPL).
  • If household income exceeds 400% FPL, you may still qualify based on medical expenses.
Application Instructions: 

If you have questions about how to apply for assistance under the CARE program, talk to your health care provider or call the NH CARE Program at 603-271-4502 or 800-852-3345, ext. 4502 (toll-free from within NH).

Application Checklist:

  • Applications are good for six months. At the end of six months you will need to submit a new application. If your enrollment expires, you will not be eligible for services.
  • Applicants are required to apply to Medicaid one time per year. Your application can be denied if this requirement is not met.
  • The “Patient Medical Information” (pg. 6-7), must be completed by a physician. It can be faxed to the NH CARE Program at 603-271-4934.
  • Attach a copy of your insurance or medicare card.
  • Attach a copy of your pay stub OR social security check OR unemployment check OR federal income tax return.
  • If you have no income, your case manager will need to write a letter stating you have no income.
  • Mail application to the CARE Program at:
DHHS- NH CARE Program
29 Hazen Drive
Concord NH 03301
Hepatitis C (HCV) Drug Therapy:

State covers some form of HCV drug therapies as part of their approved drug formularies: Yes

To learn more about what HCV drug therapies are on the drug formulary, please visit tiicann.org/co-infection-watch.html (go to page #7).

Location

Address:
DHHS- NH CARE Program
29 Hazen Drive
Concord, NH 03301

Contact Information

Phone Number: 
603-271-4502 or 800-852-3345, ext. 4502
Fax Number: 
603-271-4934