Part B - AIDS Drug Assistance Program (ADAP)
The Part B AIDS Drug Assistance Program (ADAP) provides HIV/AIDS medications and access to insurance coverage to those who lack insurance and resources. Each State and Territory operates an ADAP program and is responsible for managing the purchase and distribution of medications. Each ADAP determines the medications to offer on their formulary (list of covered drugs), although all formularies must meet a baseline standard, which is to cover all core classes of antiretroviral therapies. Clinical and income eligibility varies across States/Territories as each ADAP sets its own criteria.
- For ADAP data reporting, see the ADAP Data Report (ADR) Topic page.
Resources 50
Guidelines and Manuals
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HRSA HIV/AIDS Bureau (HAB)December 2017
HRSA's HIV/AIDS Bureau guidance webinars that further explain various policy notices and program letters for grant recipients of the Ryan White HIV/AIDS Program.
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Data and Reporting TA TeamOctober 2017
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HRSA HIV/AIDS Bureau (HAB)September 2017
Performance measures to help Ryan White HIV/AIDS programs monitor and improve the quality of care they deliver.
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HRSA HIV/AIDS Bureau (HAB)April 2017
Series of manuals for Parts (programs) under HRSA's Ryan White HIV/AIDS Program (RWHAP).
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NASTADJune 2016
Template for states to use creating their own policy and procedural manuals and succession plans so that incoming Part B/ADAP staff are well-equipped to take on responsibilities.
Webinars and Training
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HRSA HIV/AIDS Bureau (HAB)November 2018
Notice of Funding Opportunity (NOFO) announcements from HRSA's HIV/AIDS Bureau for the Ryan White HIV/AIDS Program (RWHAP).
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HRSA HIV/AIDS Bureau (HAB)August 2018
Resources and training to assist Ryan White grant recipients in administering their Ryan White HIV/AIDS Program (RWHAP) grants.
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NASTADAugust 2017
Review of monitoring of provider prescribing patterns by Ryan White Part B HIV/AIDS Program (RWHAP) AIDS Drug Assistance Programs (ADAPs).
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NASTADJune 2017
Overview of anticipated changes to the individual market (both on and off Marketplace) for the 2018 plan year and the potential impact on ADAPs.
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NASTADJune 2017
Review of HRSA/HAB Policy #16-02 and the impact of housing on Ryan White HIV/AIDS Program clients along with an overview of a housing program from the Washington State Department of Health.
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NASTADMarch 2017
Discussion of premium tax credit reconciliation and exemptions from shared responsibility payments (i.e., the individual mandate), with recommended best practices for programs.
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NASTADJanuary 2017
Overview of Part B/ADAP eligibility, enrollment, and recertification practices.
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NASTADDecember 2016
This webinar detailed how Ryan White Part B and AIDS Drug Assistance Programs (ADAPs) can support access to substance use treatment medications and related services for the clients they serve.
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NASTADOctober 2015
Insights on assisting transgender individuals with the following:
- Health coverage
- Covering HRSA policy
- Culturally-effective and appropriate strategies
- ADAP and ACA considerations
- Translating coverage into clinically appropriate care
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NASTADOctober 2015
Webinar on ADAPs and purchasing of health coverage for eligible individuals, including cost considerations.
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NASTADSeptember 2015
Webcast review of HRSA's insurance purchasing policy, the definition of MAGI, considerations for ADAPs, and a spotlight on Illinois ADAP.
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National Center for Innovation in HIV CareMay 2015
Webinar on the organizational benefits of developing pharmacy services, the different models of pharmacy that can be utilized at different organizations, and steps required to develop these services.
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NASTADDecember 2014
Review of the availability of testing, care and treatment for individuals who are mono-infected with hepatitis C (HCV) and co-infected with HCV and HIV.
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HRSA HIV/AIDS Bureau (HAB)February 2014
A discussion on the success of the Minority AIDS Initiative (MAI) in increasing enrollment into the AIDS Drug Assistance Program (ADAP).
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HRSA HIV/AIDS Bureau (HAB)October 2013Orientation tutorial on the Ryan White HIV/AIDS Program.
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NASTADJune 2013
Overview of ADAPs ability to purchase/continue insurance.
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HRSA HIV/AIDS Bureau (HAB)July 2012
Ideas for ADAP coordination with Medicare Part D.
Tools and Job Aids
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HRSA HIV/AIDS Bureau (HAB), NASTADJanuary 2019
Application and companion document on how to apply for any pharmaceutical assistance program (PAP) offered by pharmaceutical companies.
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NASTADNovember 2017
The AIDS Drug Assistance Program (ADAP) Insurance Cost-Effectiveness Tool and accompanying user guide for the Affordable Care Act (ACA) 2018 open enrollment period is designed to assist ADAPs in assessing the relative cost-effectiveness of insurance plans.
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NASTADAugust 2017
DSA User Guide and DSA templates to assist RWHAP Part B Programs and ADAPs in accessing various data sources.
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NASTADJanuary 2017
Planning and implementation steps when using a Pharmacy Benefit Manager (PBM) to administer an AIDS Drug Assistance Program (ADAP).
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NASTADMarch 2016Series of checklists for ADAPs to consider when making changes/implementing program management strategies.
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HRSA HIV/AIDS Bureau (HAB), NASTADFebruary 2016
Steps for AIDS Drug Assistance Programs (ADAP) to undertake in preparing for and responding to emergencies in order to ensure there is continued access to HIV medications in disaster situations.
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HRSA HIV/AIDS Bureau (HAB)September 2015
Suggested format for ADAP work plans.
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NASTADAugust 2015ACA federal tax filing requirements for premium tax credit reconciliation and exemptions from the penalty for not having insurance coverage, with discussion of how these provisions may interact with HIV/AIDS and viral hepatitis programs.
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NASTADJuly 2015
Assessment template for state health department HIV and viral hepatitis care and treatment programs to guide decisions around implementation of the Affordable Care Act (ACA) and related health systems changes.
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NASTADJuly 2014
Insights for ADAPs in establishing procedures for seeking rebates when a prescription is filled by another 340B entity (pharmacy), to ensure that either ADAP other the other entity receives the rebate or discount for the claim.
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NASTADJune 2014
Tools to assess case management coverage offered by qualified health plans (QHPs), traditional Medicaid, and the Ryan White HV/AIDS Program.
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NASTADOctober 2013Questions and considerations for Ryan White grantees to use in determining which Marketplace insurance plans provide adequate and affordable coverage for HIV/AIDS care.
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Data and Reporting TA TeamApril 2013Request form for custom reports from the Multum Drug Database.
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Cleveland/Lorain/Elyria TGAApril 2011
Tools developed by a Part A program to monitor programs and services.
Reports and Best Practices
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HRSA HIV/AIDS Bureau (HAB)December 2018
Data reports, slide decks, and infographics on the Ryan White HIV/AIDS Program (RWHAP).
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NASTADApril 2018
Ways RWHAP Part B programs and ADAPs can enhance clinical quality management activities.
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NASTADFebruary 2018
This fact sheet outlines how Ryan White HIV/AIDS Program (RWHAP) Part B programs and AIDS Drug Assistance Programs (ADAPs) can support access to medications and tailor related services for Black/African American men living with HIV.
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NASTADJuly 2017
Fact sheet on strategies for RWHAP Part B and ADAPs regarding the provision of services to justice-involved people living with HIV.
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NASTADJuly 2017
How RWHAP grant recipients can support access to medications and related services for the clients they serve who are aging and who experience associated comorbid conditions.
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NASTADJuly 2017
Fact sheets summarizing ADAP support of clients enrolled in qualified health plans and expanded Medicaid.
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NASTADApril 2017
Review of how trauma-informed care services were implemented in a medical clinic and community organization, health department implementation actions, and client perspectives on these services.
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NASTADNovember 2016
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.
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HRSA HIV/AIDS Bureau (HAB)November 2016
Consultation meeting regarding strategies to increase hepatitis C (HCV) treatment within ADAPs.
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NASTADAugust 2016
Document highlights programming options for ADAPs to better serve transgender communities.
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NASTADApril 2016
Robust set of resources for Ryan White HIV/AIDS Program Part B programs and ADAPs to assist in their benefits management work.
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NASTADOctober 2013Review of state proposals to expand ACA coverage by purchasing insurance coverage to those up to 138% of the federal poverty level instead of expanding Medicaid eligibility.
Websites
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HRSA Office of Pharmacy Affairs (OPA)August 2018
Information on HRSA's Office of Pharmacy Affairs, which administers the 340b program, which provides drug discounts to certain federal grantees,
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HRSA HIV/AIDS Bureau (HAB)June 2018
HRSA/HAB administers the Ryan White HIV/AIDS Program, the largest Federal program focused exclusively on HIV/AIDS care.