MADAP

​​​Maryland AIDS Drug Assistance Program


Important information about MADAP eligibility date extensions:

04.06.2020 MDH Notices- MADAP program eligibility date extension


Updates concerning COVID-19, MADAP eligibility and Pharmacy Overrides as of 3/13/2020:

Please continue to call MADAP for any health insurance plan products not listed below.

Please be advised that MADAP is on Elevated Level II Notice, activating Pandemic Flu and Infectious Disease Attendance and Leave Policies. State buildings and our office remain open but we strongly encourage our clients to submit any necessary documentation to our office by fax or mail during this time. 

Pharmacy overrides: 

Effective immediately and continuing through April 30, 2020, the 12-month early refill restriction will be waived for all eligible MADAP clients and/or clients will be allowed a one-time refill of medication covered by MADAP, not to exceed a 90-day supply. 


      Please continue to follow your agency's policies and stay informed of coronavirus/ COVID-19 developments on the MDH website: 

https://phpa.health.maryland.gov/Pages/Novel-coronavirus.aspx ​

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MADAP ensures that people living with HIV/AIDS in Maryland have access to the medication they need to stay healthy.

MADAP is a statewide program and is funded primarily through the Ryan White CARE Act.

MADAP pays for medications for eligible clients with no insurance and helps clients with insurance by paying for eligible co-pay and deductible costs so they can get their medication. The list of medicines covered by MADAP (the MADAP formulary) includes a wide range of medications used to treat HIV infection, opportunistic infections, and complications of HIV infection or related conditions, including all anti-retroviral therapies approved by the U.S. Food and Drug Administration.
 
The Prevention and Health Promotion Admin (PHPA) administers MADAP, which currently serves on average 5,900 clients each month. Clients approved for MADAP must re-apply for the program annually, and also confirm continued eligibility at 6 months. See the MADAP Semi-annual Verification form (SVN). Clients enrolled in MADAP can use MADAP to receive their medications at any of the approximately 1,636 pharmacies that accept Maryland Medical Assistance (Medicaid).

To qualify for MADAP services, a person must meet the following criteria:

 
All complete MADAP applications are reviewed and processed to determine eligibility. Eligibility determinations for complete applications are made within 5 business days of receipt. If a client needs medications immediately, MADAP has 2 programs for short-term assistance. See our MADAP Forms page for our TAP and Urgent MADAP applications.    
 
Pharmacies requiring information on claims processing can learn more at MADAP's pharmacy benefit manager website.
 

MADAP requires prior authorization for certain medications. Prescribing Providers can use one of the following forms to request Prior Authorization for: 

 

For more information on the MADAP program, please call 410-767-6535 or 1-800-205-6308 between 8:30 AM and 4:30 PM (EST) Monday through Friday.

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