- Medical: HIV-infection or at risk of acquiring HIV infection consistent with the guidelines for Pre-Exposure Prophylaxis.
- Residency: New York State (U.S. citizenship is not required.)
- Financial: Financial eligibility is based on 500% of the Federal Poverty Level (FPL). FPL varies based on household size and is updated annually. Financial eligibility is calculated on the gross income available to the household, excluding Medicare and Social Security withholding and the cost of health care coverage paid by the applicant.
A single application form can be used to enroll in ADAP, ADAP Plus, the HIV Home Care Program and PrEP-AP. An additional application is required for APIC. Applicants apply to the program, providing proof of residency and income. A Medical Application signed by a licensed medical professional is required, verifying HIV status.
When you are approved, you will get an Eligibility Card and instructions on how to use it. You must present this card and prescription at a participating pharmacy to receive covered medications at no charge. Show your card to participating health care providers to receive covered medical services at no charge. If you need them, you will receive home care services from an enrolled home health care agency at no charge ($30,000 maximum life-time benefit).
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).
State covers Cabenuva as part of their approved drug formularies: Yes