​​​​​​​Maryland AIDS Drug Assistance​​​ Program


 May 17, 2022 


On December 4, 2021, the Maryland Department of Health (MDH) experienced a network outage that impacted the MDH information technology systems, including the MADAP client database and network. Our resources continue to grow and we now have access to our client database in a limited capacity and continue to test the platform to ensure that all parts function properly. 

We continue to use the solutions created to make eligibility determinations, and make adjustments as we gain access to resources for new and established MADAP clients. Please see links to previous updates under MADAP Historic News on the website for current operations.

MADAP fax lines are now operational and you may resume faxing to the fax lines listed here: 410-333-2608 and 410-244-8617.

For new and established clients:

  • We have sent out recerts for clients that end in May. If you have already sent in your recertification application and supporting documents prior to receiving one in the mail, you do not have to return it. Please do not send duplicate copies of any document unless specifically requested. This slows our process down when sorting through and organizing our documents for processing. 

  • Please only send applications, recerts, and other supporting documents to the client services email address or through one of the fax lines. Please do not send to the specialists unless specifically requested to do so. This overloads their email box and makes it difficult to work through documents received. 

  • We can be reached via email at client.services@maryland.gov.

  • We have been able to successfully create permanent MADAP ID numbers for brand new MADAP clients in our client database and therefore the temporary IDs will no longer be assigned for new applicants. Those new MADAP clients that are using temporary IDs should continue using that temporary ID until contacted by MADAP with the replacement permanent MADAP ID. As we establish functionality with other operations within our client database we will provide updates.

  • We are working in our client database and updating it with client data collected over the last 5 months. This process has impacted some eligibility​ dates and caused a 24 hour delay for some clients to receive their medication. Please contact us if your eligibility is current and you’ve been using services and you have an issue at the pharmacy so that we can confirm the issue and provide an expected time of availability of medication. Typically, it will be available the next day. 

  • The clients with terminated Aetna Silver Script policies that were reported to us have been reinstated. If you/your client’s Aetna Silver Script policy has been terminated, please contact us so that we may assist in the reinstatement of the policy.

  • If you receive a refund check from your insurance plan, and you have not made any payments toward your premium, please contact MADAP before you cash the check so that we can reconcile the check appropriately. 

Our office phone numbers have been forwarded to our cell phones. It is not necessary to call both lines, as they will only ring to one phone.

Find network incident and restoration updates here. You may also refer to our website for access to current applications, a copy of this notice (and previous notices), and other program details. 

We know that this is a difficult time for you, as it is for us as well. We have more resources now and are coming back slowly but surely. We are still requesting your patience and help in sharing information with those who may or may not have email communication. We appreciate your patience and understanding in advance. Please continue to check our website for the most current information on MADAP operatio​​ns. ​

For any questions or concerns that you may have, please contact the MADAP office at 410-767-6535 or send us an email to client.services@maryland.gov.​

​MADAP Program

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 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:  MADAP HCV PA Requirements​


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.

MADAP Client Services

1223 W. Pratt Street​
​Baltimore, MD 21223

Office Phone:
410 -767-6535



MADAP Hours of Operation:
Monday - Friday 8:30am- 4:30pm

Walk-In hours: 
Monday - Friday 8:30am- 4:00pm​