HIV Care Program

AIDS Drug Assistance Program (ADAP)

Overview

AIDS Drug Assistance Programs (ADAPs) are state administered programs that provide HIV/AIDS medications to low-income individuals living with HIV disease who have little or no coverage from private or third party insurance. ADAPs were originally authorized by the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, which was enacted in 1990, and reauthorized in 1996 and again in 2000. Currently, ADAPs are authorized under the Ryan White HIV/ADIS Treatment Modernization Act of 2006. The intent of state and federal legislation is to assure that ADAP funds are used only for the purchase of ADAP formulary drugs that cannot be paid for through other sources. ADAP must be the payer of last resort.

ADAP started as a Health Resources and Services Administration (HRSA) demonstration project to provide zidovudine (AZT), the first drug approved by Food and Drug Administration (FDA) to treat HIV infection. Since that time, ADAPs have significantly expanded to cover other FDA approved drugs to treat HIV infection and HIV-related opportunistic infections. Georgia AIDS Drug Assistance Program (ADAP) services are available to all eligible residents of Georgia. There are 25 enrollment sites located in each of the 18 health districts, along with five additional approved sites located in Metro Atlanta.

Georgia ADAP Policy Manaual

ADAP and APRN Prescriptive Authority

Physician Assistant ADAP Provider Status Policy

Eligibility Criteria

In order to enroll into the Georgia AIDS Drug Assistance Program (ADAP), individuals must fulfill all ADAP eligibility criteria. The client is responsible for providing proof of eligibility for ADAP to local ADAP coordinators or case managers at ADAP enrollment sites. All information provided for determining program eligibility will be kept completely confidential. Medications will not be dispensed in any case until medical, financial, and residency eligibility criteria are confirmed; a lack of health insurance pharmacy benefits is established; and no other payers have been identified.

Generally, individuals are eligible for ADAP if they:

1. Are HIV-infected with a CD4 < 350/mm³ or have an AIDS defining illness
2. Are HIV-infected and pregnant
3. Have a valid prescription from a Georgia licensed physician
4. Have an annual federal adjusted gross income equal to or below 300% of the current Federal Poverty Level (FPL)
5. Are a resident of Georgia
6. Are 18 years of age or older
7. Are not covered by or eligible for Medicaid or other third-party payer

In order for clients to be eligible for the ADAP, Case Report Forms are now required. Effective November 1, 2007, CDC HIV/AIDS case report forms must be attached to all new ADAP applications to be considered for enrollment. For more on reporting information, please click here. All ADAP clients are required to recertify every six months by submitting an Eligibility Recertification Form along with appropriate documentation of income, assets, and residency.

Enrollment Sites

Throughout Georgia, there are 25 ADAP and HICP enrollment sites located in each of the 18 health districts, along with 5 additional approved sites located in Metro Atlanta.

Enrollment Site List

Application and Recertification

A client must apply in person at local ADAP Enrollment Sites (i.e., designated Public Health Departments or other approved agencies) for services from the AIDS Drug Assistance Program. The client; local ADAP coordinator, case manager; and the physician must complete the application. Proof of Program eligibility is required.

All ADAP clients are required to recertify every six months by submitting an Eligibility Recertification Form along with appropriate documentation of income, assets, and residency.

Application

Recertification Form

Support and Residency Verification Letter

Formulary

The Georgia ADAP formulary includes all Food and Drug Administration (FDA) approved antiretroviral agents and a limited number of drugs to treat/prevent opportunistic infections. Drugs are added to the formulary based on the recommendations of the HIV Medical Advisory Committee. Eligible clients can access all formulary medications. However, some drugs require prior authorization.

Formulary

ADAP Alternative Method Demonstration Project (AMDP)

Georgia is currently participating in an AIDS Drug Assistance Program (ADAP) Alternative Method Demonstration Project (AMDP). The AMDP was approved by HRSA as a mechanism for developing comprehensive pharmacy services utilizing 340B Public Health Service (PHS) drug pricing and the Prime Vendor Program (PVP). The main objective of the AMDP is to provide comprehensive and convenient pharmacy services while maintaining cost savings to the AIDS Drug Assistance Program (ADAP). This new process for providing pharmacy services to eligible clients entails contracting with multiple retail pharmacies throughout the state to access professional, timely, and confidential “point of sale” pharmacy services. Georgia is the first state approved by HRSA to implement the AMDP. As of December 1, 2008 there are 11 enrollment sites participating in the AMDP. ADAP clients of AMDP sites are allowed to use any of the participating pharmacies contracted with the Department for this project.

Participating Pharmacies

AMDP Brochure

AMDP FAQs

Contacts: ADAP/HICP Coordinator, (404) 657-3127