About the AIDS Drug Assistance Program (ADAP)
An AIDS Drug Assistance Program (ADAP), also known as the Nevada Medication Assistance Program (NMAP), is a State/Territory-administered program authorized under Part B of the Ryan White HIV/AIDS Program (RWHAP) that provides FDA-approved medications to low-income individuals with HIV disease who have limited or no coverage from private insurance, Medicaid, or Medicare. Through the provision of access to HIV medications, ADAPs are a critical component of the continuum of primary care and treatment for people living with HIV (PLWH). Other RWHAP programs work in conjunction with State/Territory ADAPs to bring people into a system of care and provide them with quality treatment and services.
Nevada currently has universal eligibility for the enrollment of services meaning there is only one enrollment process for all services. Before you enroll in NMAP, you must first meet the requirements for the Nevada Ryan White Services, determined by completing the Universal Eligibility Application Packets which can be found on our website at https://endhivnevada.org/policies/documents-universal-eligibility-enrollment/. The Nevada Ryan White Program’s eligibility process will request the following information:
- HIV Diagnosis
- Nevada Residency
- Income Level at or below 400% Federal Poverty Level
Once eligible for Ryan White Services, your enrollment coordinator can refer you to NMAP services. Once this referral is received, applications are processed within 14 business days. If you have less than seven (7) days of medication, you may receive an emergency referral that is processed within 48 hours. For more information, please contact the person(s) below or see the Ryan White Part B Program Nevada Medication Assistance Program (NMAP) Service Standards.
Health Insurance Premium and Cost Sharing Assistance for Low-Income Individuals (HIP-CS)
HIP-CS is the provision of financial assistance for eligible individuals living with HIV to maintain continuity of access to core medical services through the client’s health insurance plan. This includes:
- Paying medical/dental/vision premiums, co-pays or deductibles on behalf of the client; and
- Paying cost sharing on behalf of the client.
Health Insurance to Provide Medications (HIP-RX)
If an applicant is not eligible for a health insurance plan (a private individual plan, a Marketplace plan, an employer plan, or a COBRA plan) or public health insurance option (Medicare, Medicaid, VA, HIS, etc.) then NMAP will cover the full cost of any medication that is on the formulary. Funding allocated to Nevada’s ADAP provides an approved formulary of medications for people living with HIV/AIDS (PLWH) for the treatment of HIV disease or the prevention of opportunistic infections.
HIP-RX provides access to medications by using program funds to purchase health care coverage and through medication costs for sharing for eligible clients. This includes:
- Purchasing health insurance that provides comprehensive primary care and pharmacy benefits for low income clients that provide a full range of HIV medications; and
- Providing funds to contribute to a client’s Medicare Part D True Out-Of-Pocket (TrOOP) costs.
Outpatient/Ambulatory Health Services
Provides diagnostic and therapeutic-related activities directly to a client by a licensed healthcare provider in an outpatient medical setting. Primarily utilized by uninsured clients. Outpatient medical settings may include: clinics, medical offices, mobile vans, using telehealth technology, and urgent care centers facilities for HIV-related visits. This includes:
- Medical History taking;
- Physical examination;
- Diagnostic testing (including HIV confirmatory and viral load testing), as well as laboratory testing;
- Treatment and management of physical and behavioral health conditions;
- Behavioral risk assessment, subsequent counseling, and referral;
- Preventive care and screening;
- Pediatric development assessment;
- Prescription and management of medication therapy;
- Treatment adherence;
- Education and counseling on health and prevention issues; and
- Referral to and provision of specialty care related to HIV diagnosis, including audiology and ophthalmology.
Other Professional Services: Tax Preparation
Eligible Clients that have received advanced premium tax credits (APTC) to acquire a marketplace insurance plan can receive assistance with tax filing and ADAP can assist with any (APTC) liability owed to the Internal Revenue Service. Please contact Access to Healthcare Network for more information.
If you have any questions concerning NMAP, please contact the person(s) below:
Health Program Specialist I
M. Gabriel Colbaugh
Program Officer I