CHCS

QUICK LINKS

MADAP
MADAP Plus
MADAP Forms
MADAP Advisory Board

HELPFUL LINKS

PHPA
Maryland Department of Health (MDH)
Behavioral Health Administration
Maryland Medicaid Programs

FEDERAL RESOURCES

USA.gov
HRSA
CDC
FDA

MADAP

Maryland AIDS Drug Assistance Program

Contact Information:
_P_{hone: 410-767-6535}_{Fax: 410-333-2608}

Mailing Address:
_{500 North Calvert Street, 5th Floor}
_{Baltimore, Maryland 21202}

_{Business Hours: Monday - Friday: 8:30am - 4:30pm}

Provider Resources

MADAP & MADAP-Plus Pages
MADAP Formulary
MADAP Application
MADAP Semiannual Verification Notice Instructions
MADAP Semiannual Verification Notice

TAP Application Nov. 2018

Urgent MADAP Application Nov. 2018

A1. Medical Eligibility Form Nov. 2018

A2. No Income and or Homeless Verification Form Nov. 2018

A3. Cash Only Verification Form Nov. 2018

Restricted Drug Forms & Guidelines

MADAP Prior Authorization Request Form for Hep-C Therapy
Continuation of MADAP Prior Authorization Request Form for Hep-C Therapy

NOTE: Provider manuals and bulletins are in PDF format used by Adobe Reader. Adobe Reader formats printed material for viewing on your computer monitor and allows you to print documents. The reader may be downloaded for free from the Adobe website.

MADAP

​Maryland AIDS Drug Assistance Program

Contact Information:Phone: 410-767-6535 Fax: 410-333-2608

Mailing Address: ​500 North Calvert Street, 5th FloorBaltimore, Maryland 21202

Business Hours: Monday - Friday: 8:30am - 4:30pm

​Provider Resources

Maryland AIDS Drug Assistance Program

Contact Information:
_P_{hone: 410-767-6535}_{Fax: 410-333-2608}

Mailing Address:
_{500 North Calvert Street, 5th Floor}
_{Baltimore, Maryland 21202}

_{Business Hours: Monday - Friday: 8:30am - 4:30pm}

Provider Resources