New Mexico residents seeking assistance through ADAP must complete a Department of Health A Client Centered Certified Entry System for Services (ACCESS) application. ACCESS is the single application form used for all services in the HIV Service Provider (HSP) network. This confidential form that must be submitted upon the first application for enrollment and annually for re-enrollment to maintain client eligibility for HIV care and support services.
In order to qualify for HIV services, each applicant must show documented proof of the following:
- Proof of HIV/AIDS Status, verified by a licensed medical provider.
- New Mexico Residency with a physical address (PO Box is not acceptable): Examples:
- Current driver’s license or identification card
- Approved current lease
- Major utility bill
- Annual Income less than 400% of the Federal Poverty Level (FPL). Examples:
- Employment income/wages/salaries
- Self-employment income
- Social Security Disability Insurance (SSDI)
- Unemployment income
- Insurance documentation
Eligibility for all ADAP services requires the following additional documentation, in addition to information provided for HSP network enrollment.
- Documentation of any current health insurance that the client has in effect.
- Information about any other health insurance options for which the client is eligible, including insurance provided by an employer or available for their family unit due to eligibility of their spouse or a dependent.
- Documentation that an application has been made and submitted for health insurance coverage, if eligible for Medicaid or ACA Marketplace plans.
- Some plans require documentation of whether or not the client uses tobacco products to avoid a premium surcharge. If this is required, the information must be completed and submitted in a timely fashion to avoid excess cost.
All persons must be eligible for and actively enrolled in the HSP network to receive ADAP services. Clients must be enrolled in and utilizing Medical Case Management, to ensure coordination between ADAP services and ambulatory medical care so that the client is prescribed and accesses needed medications. Case Managers will provide ACCESS applications to clients and submit them in a timely manner.
To enroll, please contact one of the following providers:
State covers some form of HCV drug therapies as part of their approved drug formularies: No
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).