Virginia AIDS Drug Assistance Program (ADAP)

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).


ADAP Enrollment Numbers (as of October 2018)

  • Total: 7,362
  • Direct ADAP: 2,326
  • Medicare Part D Assistance Program (MPAP): 660
  • Insurance Continuation Assistance Program (ICAP): 800
  • Health Insurance Marketplace Assistance Program (HIMAP, clients in ACA): 3576

Hepatitis C/HIV Co-Infected Treatment Assistance Program Enrollment Numbers (as of April 2018)

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

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.



Questions or comments?  Medication Eligibility Hotline 1-855-362-0658

 

Are you ready for Medicaid Expansion?  Visit this page frequently for the latest enrollment updates.

Virginia Medicaid Expansion Enrollment Resources


VDH/DMASS Announcements

October 22, 2018

Medicaid expansion is almost here! Starting November 1, Virginia will begin accepting applications under the expanded Medicaid eligibility rules, meaning close to 400,000 adults will now be eligible for coverage. Many of these adults will have the opportunity to enroll through several streamlined processes. More information (including an Enrollment Pathways Toolkit, copies of letters that will be sent out, and other documents) is available at https://www.coverva.org/expansion/advocates.html.

DMAS will be hosting a series of lunchtime webinars to provide more information, including:

  • An overview of Medicaid expansion - who is eligible, services covered, health plans and more
  • Descriptions of the streamlined/fast track enrollment processes, including the letters and express applications individuals will receive
  • Q&A

Webinars will take place each day from 12 - 1 p.m. on the following dates:

  • Wednesday, 10/24
  • Thursday, 10/25
  • Friday, 10/26
  • Monday, 10/29
  • Tuesday, 10/30
  • Wednesday, 10/31
  • Thursday, 11/1
  • Friday, 11/2

You do not need to register. Simply join by 12 p.m. at the link:  https://meetings.ringcentral.com/j/1486576968

The webinar is open to the first 200 attendees. If capacity is met, please join us at the next scheduled webinar. Attendees will have the opportunity to ask questions in the chat box during the presentation. 

 


The 2019 ACA Open Enrollment period is almost here!

Enrollment is from November 1, 2018 to December 15, 2018.


October 31, 2018

2019 Open Enrollment period begins November 1 and continues through December 15.  For this year's enrollment, the ACA module in e2VA will not be used to collect insurance enrollment on clients.  The 2019 Insurance Enrollment Worksheet should be completed for each client enrollment.  This is a computer-friendly Word document that information can be entered directly into or it can be printed and filled in manually.  This is same form used during the prior open enrollment period with only three additional elements: household income, family size, and a Medicaid-eligibility question.  If possible, please send the following information with the enrollment worksheet:

  • proof of income
  • proof of Virginia residency
  • copy of insurance premium data from the Marketplace application

If the enrollment site is a VDH contracted service provider and you have an SSTP (secured) invoice folder, you may submit documents to the folder.  For all others, please fax the documents to 804-864-8050.

In prior years, some enrollment sites recorded each insurance enrollment on an Insurance Enrollment Tracking Log.  These logs were provided to VDH on a weekly basis as a way to confirm receipt of enrollments submitted.  The log can be used this year as well.

Contact the medication access hotline with questions on the open enrollment process at 1-855-362-0658.


A list of plans the Virginia Department of Health (VDH) will support is now available.

Click on the Microsoft Word or Adobe (PDF) link below to access the list.

Adobe (PDF):  VDH Supported ACA Marketplace Insurance Plans for 2019

Microsoft Word:  VDH Supported ACA Marketplace Insurance Plans for 2019