Fact sheet to explain policies and procedures for ADAPs to follow to ensure that Ryan White funds are used as the payer of last resort, including for Medicaid. Document discusses:
- Eligibility as mechanism to assess other payer sources
- Scenarios under which ADAPs can coordinate with Medicaid
- The role of Pharmacy Benefit Managers and central pharmacies in handling back-billing
- Avoidance of receipt of duplicate discounts/rebates.