HIV: AIDS/HIV Drug and Insurance Assistance Program Information for Health Care Professionals
The Wisconsin AIDS (acquired immunodeficiency syndrome)/HIV (human immunodeficiency virus) Drug Assistance Program (ADAP) and Insurance Assistance Program (IAP) help people with HIV get:
- Health insurance help.
- Medicine 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.
Find more information on the Wisconsin AIDS/HIV Insurance Assistance Program and ADAP Fact Sheet, P-42115.
FAQs (frequently asked questions)
Below are some frequently asked questions and answers about the programs.
To be eligible for the ADAP and IAP, a person must live in Wisconsin and have:
- HIV, as confirmed by a doctor.
- A household income at or below 300% of the federal poverty guidelines.
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.
They can apply:
- At a community-based organization.
- At a doctor’s office that specializes in treating HIV.
- By filling out an application and mailing or emailing it:
They must mail their completed application to:
Division of Public Health
ATTN: ADAP
PO Box 2659
Madison, WI 53701-2659
They can also fax it to 608-266-1288 or email it to the Division of Public Health.
Those who are approved will get an approval letter. If they’re applying for ADAP, we’ll also let their pharmacy know. This is the pharmacy that will give them their approved medicines. The pharmacy will bill the program.
Here is a list of drugs covered by ADAP: ADAP Formulary, Jan 2023, P-02760 (PDF).
For more information about either program, call 800-991-5532.
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.
Additional materials
- Acceptable documents list for proof of income and residency—Wisconsin ADAP Acceptable Documents for Proof of Residency and Income
- Client disclosure authorization form—Authorization to Receive and Disclose Information AIDS/HIV Drug Assistance and Insurance Assistance Programs, F-01829 (Word)
- Complaint resolution form—Request for HIV Care Grievance Resolution Wisconsin Communicable Disease Harm Reduction Section HIV Care Unit, F-02925 (Word)
- Exception report for clients not receiving advanced premium tax credits—Wisconsin AIDS Drug Assistance Program (ADAP) Exception Report
- Formulary—AIDS Drug Assistance Program (ADAP) Formulary, April 1, 2021, P-02760 (PDF)
- Grievance and fair hearing policy—AIDS Drug Assistance Program (ADAP) and Insurance Assistance Program (IAP) Grievance and Fair Hearing Policy, P-03185 (PDF)
- Insurance enrollment report—AIDS/HIV Drug Assistance and Insurance Assistance Program Insurance Enrollment Report, F-01423
- Policy exception request sheet—Exception-to-Policy Request, F-01700 (Word)
- Policy manual—Wisconsin ADAP Policy Manual, P-01771 (PDF)
More resources
- 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
- Local groups that provide HIV services—Community-Based Organizations