HIV Care and Treatment: ADAP Information for Health Care Professionals
What is ADAP?
The Wisconsin ADAP helps people living with HIV get access to:
- Health insurance, and
- Medication for:
- HIV.
- Hepatitis C, if they have both HIV and hepatitis C.
- The prevention or treatment of other health conditions.
ADAP reimburses enrolled pharmacies for certain medications. Here is a list of medications covered by ADAP: ADAP Formulary, 02760.
Who is eligible?
To be eligible, a person must:
- Be living in Wisconsin,
- Have a household income at or below 300% of the federal poverty guidelines, and
- Be living with HIV, confirmed by a doctor.
Clients will be asked about their health insurance to make sure that ADAP is the payer of last resort for services that can be paid by health insurance.
How to apply
A person can apply:
- At a community-based organization.
- At a doctor’s office.
- By filling out an application and mailing, faxing, or emailing it:
- Application:
- Physician portion: Wisconsin ADAP Application/Recertification, Part B, F-44614b
They can either mail their completed application to:
Division of Public Health
ATTN: ADAP
PO Box 2659
Madison, WI 53701-2659
Or send an email to dhsdphadap@dhs.wisconsin.gov or fax to 608-266-1288.
Those who are approved will get an approval letter. We’ll also let the client's pharmacy know, who will give them their approved medications and bill the program.
For more information, call 800-991-5532 or send an email to dhsdphadap@dhs.wisconsin.gov.
- If you’d like to become an ADAP pharmacy provider, check out the ForwardHealth Provider Enrollment webpage.
- If you’re a pharmacy provider with the program and have questions about claims or billing, call Provider Services at 800-947-9627.
- Acceptable documents list for proof of income and residency—ADAP Acceptable Documents for Proof of Residency and Income, P-03024
- Client disclosure authorization form—ADAP Authorization to Receive and Disclose Information, F-01829 (Word)
- Complaint resolution form—Request for HIV Care Grievance Resolution, F-02925 (Word)
- Exception report for clients not receiving advanced premium tax credits—ADAP Exception Report, F-01670
- Grievance and fair hearing policy—ADAP Grievance and Fair Hearing Policy, P-03185 (PDF)
- Insurance enrollment report—ADAP Insurance Enrollment Report, P-01423
- Policy exception request sheet—ADAP Exception-to-Policy Request, F-1700 (Word)
- Policy manual—Wisconsin ADAP Policy Manual, P-01771 (PDF)
- Information on how to apply for pharmaceutical assistance programs that offer medicine at little or no cost to eligible patients—Common Patient Assistance Program: Application and Companion Document
- Information about the federal Ryan White HIV/AIDS Program—People with HIV and Community
- Information from the Centers for Disease Control and Prevention on living with HIV—Living with HIV
- The Centers for Disease Control and Prevention offers HIV Screening guidelines—Screening for HIV.