To be eligible for ADAP, individuals must:
- be HIV positive.
- reside in North Carolina.
- have a gross family income that is equal to or less than 300 percent of the Federal Poverty Guidelines (see the table below).
- not have any third-party prescription drug coverage (private insurance or Medicaid) that enables them to obtain HIV medications (other than Medicare* or Qualified Health Plans purchased on the Federal Marketplace**).
* Clients eligible for Medicare are required to enroll in a Medicare Prescription Drug Plan (Medicare Part D Plan or Medicare Advantage Plan). Clients eligible for Medicare with income at/below 150 percent of the Federal Poverty Guidelines are required to apply for the Low Income Subsidy (LIS or Extra Help), if they are not automatically eligible, through the Social Security Administration.
**Clients that are able to do so should enroll in a Qualified Health Plan on the Federal Marketplace (healthcare.gov).
All ADAP applications are processed by Purchase of Medical Care Services (POMCS). POMCS determines eligibility and authorizes services for programs administered through the North Carolina Department of Health and Human Services’ Division of Public Health. Applications must be submitted by an Interviewer, not the applicant. The Interviewer may be the applicant’s HIV case manager, social worker, clinician, or anyone else working in an official capacity on the applicant’s behalf. An individual who wants to apply for ADAP should contact their clinician, their HIV case manager, one of NC’s HIV Regional Networks, a local health department, an AIDS Service Organization or the ADAP Office.