To be eligible for one of the programs supported by Virginia ADAP applicants/clients must:
- Live in Virginia.
- Have an individual or family income at or below 500% of the Federal Poverty Level (FPL).
- Have a documented HIV diagnosis with CD4 count(s) and Viral Load(s) within the last six months.
- Not qualify or have Medicaid.
- Provide proof of income, changes in insurance coverage, or any changes in residency every six months for recertification. Failure to report changes in factors impacting eligibility may result in discontinuation of ADAP services.
- Agree to participate in the service option that best meets the clients’ needs and resources, and for which the applicant/client is eligible.
There are two options to complete an application:
- Clients may complete the entire application themselves and mail and/or fax to the ADAP Central Operations Office.
The application can be found online at: ADAP Forms and Brochures.
- Clients may call the Medication Eligibility Hotline (1-855-362-0658), and staff will help with the application process. The application will be mailed to the client to sign and provide documents verifying income. The application can be returned to VDH in the postage-paid envelope that will be included.
Application Process: To enroll in ADAP clients must apply through VDH ADAP Central Office or through the Virginia Commonwealth University Health Systems (VCUHS) Financial Services (if clients receive services there). Applicants will be given thirty days (30) to respond to the first request for documents. A second request will be made after 30 days if the needed documents have not been received. Applicants who do not respond after sixty days (60) will be deemed non-responsive in providing the completed ADAP application process and would need to re-submit a complete application to be approved for ADAP.
- The ADAP application is used to apply for all ADAP Service Options: Direct ADAP, the Medicare Part D Assistance Program (MPAP), the Health Insurance Marketplace Assistance Program (HIMAP) and the Insurance Continuation Assistance Program (ICAP).
- When approved by the client, the ADAP Central Office staff will work with client advocates (case managers, local health department ADAP coordinators, social workers) to assist with and complete the application.
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).