Ohio

The AIDS Drug Assistance Program ( ADAP ) helps ensure that people living with HIV and AIDS who are uninsured and under-insured have access to medication.

• Eligibility Criteria
• Application Instructions
• Formulary
• Hepatitis C (HCV) Drug Therapy
• Long-Acting Injectables (LAIs) Therapy
• Contact Information

In the State of Ohio, to be eligible for ADAP enrollment, an individual must meet the following criteria:

• Have a positive HIV/AIDS diagnosis;
• Be a resident of Ohio;
• Submit a complete application and demonstrate a willingness to sign all forms and to provide necessary documentation.
• Be a resident of Ohio.
• Have a monthly gross income that meets our Financial Eligibility Guidelines (500% of the Federal Poverty Level, adjusted for family size). Applicants with an income at or below the federal poverty level are required to have an ODH-Approved Part B Medical Case Manager who can assist them in accessing all eligible services.
• Provide proof of monthly income (for the applicant, as well as the applicant's legal spouse and/or dependents). This includes copies of pay stubs for the most recent 30 consecutive days of employment, Social Security Income award letters, copies of unemployment compensation stubs, etc.
• For the self-employed: provide a copy of an IRS Income Tax Transcript for the most recent tax year. The form to obtain the transcript is Form 4506T and is available at the IRS Web site . Step-by-step instructions are also available by following the IRS transcript request instructions.
• First-time applicants: provide documentation of HIV positive status such as lab results (CD4+ cell count, HIV RNA [viral load], positive HIV serology results, genotype results, etc.) or documentation by a medical provider.

Complete the Ryan White Part B Application and include all required documents. Contact a case manager or call 800-777-4775 for instructions on submitting the application.