Topic: ADAP: AIDS Drug Assistance Program
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The Ryan White 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. In fiscal year 2013, ADAP provided 264,955 clients with HIV-related medications and/or health care coverage assistance.- Learn more about ADAP.
- Access ADAP technical assistance and training.
- Learn more. See Living History and the HRSA/HAB website.
- For ADAP data reporting, see the ADAP Data Report (ADR) and Data & Reporting.
Guidelines and Manuals
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HRSA HIV/AIDS BureauApril 2017
Series of manuals for Parts (programs) under HRSA’s Ryan White HIV/AIDS Program (RWHAP).
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ADAP Manual
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HRSA HIV/AIDS BureauDecember 2016
HRSA’s HIV/AIDS Bureau guidance and requrements for grantees of the Ryan White HIV/AIDS Program on such topics as eligibility, allowable use of funds, and clarifications of legislative requirements.
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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.
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HRSA HIV/AIDS BureauNovember 2013Performance measures to help Ryan White HIV/AIDS programs monitor and improve the quality of care they deliver.
Webinars and Training
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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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HRSA HIV/AIDS BureauNovember 2016
Slide presentations for workshop sessions held at the 2016 Ryan White Conference.
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The 340B Pharmacy Program: An Overview for ASOs and CBOs
National Center for Innovation in HIV CareJune 2016On this webinar, a representative from 340B Health explains explains what the 340B program is and how it works, how ASOs and CBOs can participate, and provides resources for ASOs and CBOs interested in more training on the program.
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NASTADOctober 2015
Insights on assisting transgender individuals with health coverage, covering HRSA policy, culturally-effective and appropriate strategies; ADAP and ACA considerations; and 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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HRSA HIV/AIDS BureauOctober 2015
Notice of Funding Opportunity (NOFO) announcements from HRSA’s HIV/AIDS Bureau for the Ryan White HIV/AIDS Program (RWHAP).
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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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NASTADFebruary 2015
Session covers: premium tax credit reconciliation; claiming an exemption from the individual mandate; and ADAP policies and best practices.
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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 BureauFebruary 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 BureauDecember 2013
Explanation of Local Pharmacy Assistance Programs (LPAP), the National Monitoring Standards for LPAPs, and key components of an LPAP.
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HRSA HIV/AIDS BureauOctober 2013
Orientation 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 BureauMarch 2013
This webinar for Ryan White Part B Grantees provides an overview of Ryan White HIV/AIDS Program expectations for client eligibility assessment and recertification requirements.
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HRSA HIV/AIDS BureauJuly 2012
Session for ADAP coordinators on ADAP intersections with patient assistance programs (PAPs), client access to PAPs, and NASTAD work to streamline the PAP eligibility and enrollment processes.
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HRSA HIV/AIDS BureauJune 2012
This ADAP technical assistance webinar (Part I of II) focused on ADAP coordination with Medicare Part D.
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HRSA HIV/AIDS BureauFebruary 2012
Webinar demonstrating geomapping using the AIDSVu online system and a web-based tool for ADAP enrollment developed by the state of Illinois.
Tools and Job Aids
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NASTADJanuary 2017
Planning and implementation steps when using a Pharmacy Benefit Manager (PBM) to administer an ADAP.
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HRSA HIV/AIDS Bureau, NASTADAugust 2016
The Common Patient Assistance Program (PAP) Application can be used to apply for any pharmaceutical assistance program (PAP) offered by pharmaceutical companies.
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Data and Reporting TA TeamMarch 2016
Explanation of how ADAPs can access the Check Your XML feature in the ADR, via the Electronic Handbooks (EHB), to check client-level data quality prior to submission.
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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, 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 BureauSeptember 2015
Suggested format for ADAP work plans.
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NASTADAugust 2015
ACA 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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Texas Department of State Health ServicesFebruary 2015
State ADAP program management resources (e.g., client application, medication certification form, program guidelines, memorandum of agreement (MOA) with pharmacies).
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NASTADJuly 2014
MS Excel tool for ADAPs to assess the cost-effectiveness of providing insurance in comparison to full-cost medications for ADAP clients.
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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 2013
Questions 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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Center for Health Law and Policy Innovation of Harvard Law School and the Treatment Access Expansion ProjectSeptember 2013
Tool for use in assessing various Marketplace Qualified Health Plans (QHPs) to determine the best coverage options.
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NASTADApril 2013
Tool for ADAPs to use or adapt in projecting fiscal needs for the future fiscal needs.
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HAB Grantee Request Form: Multum Medication Information
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.
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Dallas EMAJanuary 2011
Program and service monitoring tools developed by a Part A grantee.
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HRSA HIV/AIDS Bureau
Series of slide presentations on Clinical Quality Management for AIDS Drug Assistance Programs (ADAPs).
Reports and Best Practices
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RWHAP Data Reports
HRSA HIV/AIDS BureauDecember 2016Client-level data reports and other regular data reports on the Ryan White HIV/AIDS Program (RWHAP).
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2015 RWHAP Annual Client-Level Data Report
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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. D
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HRSA HIV/AIDS Bureau, NASTADNovember 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 2013
Review 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.
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HRSA HIV/AIDS BureauDecember 2012
Series outlining cost-saving and cost-cutting strategies used by AIDS Drug Assistance Programs (ADAP).
Websites
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HRSA HIV/AIDS BureauApril 2017
HRSA/HAB administers The Ryan White HIV/AIDS Program, the largest Federal program focused exclusively on HIV/AIDS care.
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ACE TA CenterJuly 2015
Links to resources that were available in July of 2015 on state ADAP program websites. Where available we have provided links to the following information about the state program: Main page, eligibility information, formulary, financial assistance, and other key information.
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HRSAJanuary 2012
Information on HRSA’s Office of Pharmacy Affairs, which administers the 340b program, which provides drug discounts to certain federal grantees,