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Uninsured Care Programs for HIV/AIDS

Overview

T + T

Background

HISTORY

The New York State Department of Health AIDS Institute has established five programs for individuals with HIV/AIDS or those at risk and who are uninsured. The programs are: ADAP – AIDS Drug Assistance Program, ADAP Plus, the HIV Home Care Program, the ADAP Plus Insurance Continuation (APIC) Program and the Pre-Exposure Prophylaxis Assistance Program (PrEP-AP).

The mission of these programs is to provide access to medical services and HIV medications for all New York State residents with HIV/AIDS or those at risk of acquiring HIV infection.

The AIDS Drug Assistance Program (ADAP) began in 1987 as part of a national program to provide free HIV/AIDS drugs to low-income individuals not covered by Medicaid or adequate third-party insurance.

In November 1991, the HIV Home Care Program, modeled on ADAP, was implemented. This initiative was administered by the AIDS Institute’s Chronic Care Unit until March 1993 when it was integrated with ADAP operations.

In October 1992, the New York State Department of Health established ADAP Plus as part of the Uninsured Care Programs for hospital and clinic settings to promote early intervention and improve access to treatment for persons with HIV disease who are uninsured or underinsured.

In July 2000, the ADAP Plus Insurance Continuation (APIC) Program was implemented to assist individuals to pay the premiums for commercial health insurance for applicants who have existing coverage

In January 2015 the PrEP-AP began to provide access to primary care services and monitoring to support the use of Pre-Exposure Prophylaxis (PrEP) to prevent HIV infection.
All the uninsured care programs are centrally administered, use a unified application form and coordinate outreach activities.

WHO ADMINISTERS THE PROGRAM

The NYS Department of Health State AIDS Institute administers the program in NYS.

FUNDING

The programs are funded through a partnership between New York State, New York City, Lower Hudson, Long Island and Duchess counties using funds from the Ryan White Care Act. In addition, the New York State Department of Health provides funds from the New York Public Health Care Reform Act.

Summary of Uninsured Care Programs for HIV/AIDS

There are five uninsured care programs for HIV/AIDS available in NYS: the AIDS Drug Assistance Program (ADAP), ADAP Plus, the HIV home care program, the ADAP Plus Insurance Continuation Program (APIC) and the PrEP Assistance Program (PrEP-AP).

The uninsured care programs serve New York State residents who are HIV-infected or at risk of acquiring HIV infection and are uninsured or under-insured and meet eligibility criteria. For home care services, an individual must show chronic medical dependency due to physical or cognitive impairment from HIV infection.

There are no citizenship/ immigration criteria for these programs. Applicants must be residents of New York State and have income below 500% of the Federal Poverty Level (FPL).

The Application for the Uninsured Care Programs (DOH-2794) is used to enroll in ADAP, ADAP Plus,the HIV Home Care Program and PrEP-AP. A different application is required for APIC. A separate medical application, signed by a licensed medical professional verifying HIV-infection and indicating the applicant’s medical status, must be also be submitted for the 4 HIV programs, however for the PrEP-AP a medical practitioner is required to verify that the applicant is HIV-negative. In addition, a treatment plan by a physician must also be submitted for Home Care applicants.