HIV Care and Treatment: HDAP Information for Health Care Providers
What is HDAP?
The Wisconsin HIV Drug Assistance Program (HDAP) helps ensure people living with HIV have 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.
HDAP reimburses enrolled pharmacies for certain medications. Here is a list of medications covered by HDAP: HDAP Formulary, P-02760 (PDF).
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
- Be living with HIV, confirmed by a doctor
Clients will be asked about their health insurance to make sure that HDAP 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 HDAP Application/Recertification, Part B, F-44614B (PDF)
They can either mail their completed application to:
Division of Public Health
ATTN: HDAP
PO Box 2659
Madison, WI 53701-2659
Or send an email to dhsdphhdap@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 dhsdphhdap@dhs.wisconsin.gov.
- If you’d like to become an HDAP 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—HDAP Acceptable Documents for Proof of Residency and Income, P-03024 (PDF)
- Client disclosure authorization form—HDAP 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—HDAP Exception Report Form, F-01670 (PDF)
- Grievance and fair hearing policy—HDAP Grievance and Fair Hearing Policy, P-03185 (PDF)
- Insurance enrollment report—HDAP Insurance Enrollment Report Form, P-01423 (PDF)
- Policy exception request sheet—HDAP Exception-to-Policy Request Form, F-1700 (Word)
- Policy manual—Wisconsin HDAP 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.
- Information about Hepatitis C Treatment for People Living with HIV, P-03602 (PDF)