MADAP Program Information
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. 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 10 business days of receipt.
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 the following form to request Prior Authorization for MADAP HCV PA Requirements.
