Virginia AIDS Drug Assistance Program (ADAP)

September 12, 2018


VDH is preparing for potential impacts from Hurricane Florence.  We need your help to assure eligible Ryan White Part B clients have continued access to medications and services.  Be prepared to serve Ryan White clients from other states.  Please take these action steps:

  1. Review your agency’s Continuity of Operations Plan (COOP) and update as needed.
  2. Educate all staff on your agency’s COOP.
  3. Educate your clients on your agency’s COOP.
  4. Visit VDH’s HCS web page and ADAP web page for daily updates, especially for issues related to medication access and use of emergency financial assistance to meet client needs in the aftermath of the storm. VDH is also posting messages on Facebook.
  5. Please be ready to accept People Living with HIV who may evacuate from neighboring states. VDH will provide more information about emergency enrollments, forms you can use, and will work with everyone to assure your agency has adequate funding to serve any additional clients during the emergency phase and the aftermath for however long clients need services from your agency.

HIV Care Services web page:

ADAP web page:

If Hurricane Florence affects your community, VDH instructs agencies to use your RWHAP B funds to provide allowable services to eligible clients.  Your agency may move their funding around to different service categories to meet the clients’ needs during this emergency and prior approval is not necessary.  VDH also instructs agencies to allow the following:

EMERGENCY ACCESS TO MEDICATIONS: If no other options exist for the client, agencies can purchase medications currently available on the ADAP, Ryan White Part B, and ACA insurance formularies using Emergency Financial Assistance (EFA) funds.  Please review the Expanded Use of Emergency Financial Assistance for Medication Access in Virginia policy for additional information and steps. Prior approval is not necessary.  VDH is also working with local health departments to ensure Direct ADAP clients have continued access to medications.  If the local health department where a client accesses ADAP medications is closed, case managers should instruct the client to go to another local health department to get their medications if they can conveniently and safely do so.  If this is not possible, case managers should assist clients get their medications from a local pharmacy using EFA funds.  Visit the HCS web page or ADAP web page for additional information. If you have any questions about medication access, contact your Contract Monitor.

EMERGENCY ACCESS FOR HOUSING/FOOD/GAS: Agencies can use Ryan White Part B Emergency Financial Assistance funds for the services below.  VDH is waiving the “one-time” service use restriction for this service during this state of emergency.  Please lift any caps on these services by your agency if needed for client safety and continuity of care:

  • emergency housing for displaced clients
  • food and gas vouchers

FOOD BANK/HOME DELIVERED MEALS: Agencies can use Ryan White Part B Food bank/home delivered meal funds for the following:

  • purchase personal hygiene products
  • household cleaning supplies
  • water filtration/purification systems in communities where issues of water safety exist

PROCUREMENT: VDH can do modifications or budget reallocations to existing contractual agreements after the event to accommodate budget overages for allowable services.

REPORTING:  If your agency serves clients from out of state, VDH requests that you track and report the number of these clients served, service categories used, and expenditures for these services.  We will provide a tracking form and further information on how to report this to us.

For older Hurricane Florence Special Alerts, click below:

Older Hurricane Florence Special Alerts


The Virginia (VA) AIDS Drug Assistance Program (ADAP) provides access to life-saving medications for the treatment of HIV and related illnesses for low-income clients through the provision of medications or through assistance with insurance premiums and medication co-payments. The program is primarily supported with federal Ryan White (RW) Treatment Extension Act Part B grant funding, which is distributed by a formula based on living HIV and AIDS cases to all states and territories in the United States. VA ADAP provides insurance cost support or directly purchased medications through four service options: Direct ADAP, the Medicare Part D Assistance Program (MPAP), the Insurance Continuation Assistance Program (ICAP) and the Health Insurance Marketplace Assistance Program (HIMAP).

Clinical Support and Policy Development

In 1996, an ADAP Advisory Committee was created. The committee is comprised of HIV/AIDS medical providers, a pharmacist, and consumers. The committee advises VDH on changes to the formulary, changes in eligibility criteria, adherence issues, and educational concerns. The committee reviews data on ADAP utilization and assess budgetary implications of trends and program changes.

For more information about the committee, please see the ADAP Advisory Committee Scope.

ADAP Enrollment Numbers*

Total 6,827
Direct ADAP 1,645
Medicare Part D Assistance Program (MPAP) 581
Insurance Continuation Assistance Program 684
Health Insurance Marketplace Assistance Program (HIMAP, clients in ACA) 3,917

Hepatitis C/HIV Co-Infected Treatment Assistance Program Enrollment Numbers*

Number of clients that have accessed program 94
Number of clients that have completed treatment 85
Number of clients in treatment 3


ADAP Eligibility

ADAP Policies

ADAP Formulary

Other Medication Resources

ADAP Dashboards updated March 2015

Questions or comments? 

Medication Eligibility Hotline 1-855-362-0658

*Enrollment numbers as of April 2018