HIV: AIDS/HIV Drug and Insurance Assistance Program Information for Consumers and Clients

To be eligible, you must live in Wisconsin and have:

• HIV, as confirmed by a doctor.
• A household income at or below 300% of the federal poverty guidelines.

Clients will be asked about their health insurance to make sure that ADAP is the payer of last resort for services that can be paid by health insurance.

You can apply:

• At a community-based organization.
• At a doctor’s office that specializes in treating HIV.
• By filling out an application and mailing, faxing, or emailing it.
  • Application:
    • Wisconsin AIDS/HIV Drug Assistance Program and Insurance Assistance Program Application/Recertification, Part A, F-44614A
    • Application instructions—AIDS/HIV Drug Assistance Program and Insurance Assistance Program Application/Recertification, F-446141
  • Physician portion: Wisconsin AIDS/HIV Drug Insurance Premium Subsidy Program and Drug Assistance Program Application/Recertification, Part B, F-44614B

You must mail your completed application to:

Division of Public Health
ATTN: ADAP
PO Box 2659
Madison, WI 53701-2659

You can also fax to 608-266-1288 or email it to the Division of Public Health at dhsdphadap@dhs.wisconsin.gov.

If you’re approved, you’ll get an approval letter. If you’re applying for ADAP, we’ll also let your pharmacy know. This is the pharmacy that will give you your approved medicines. The pharmacy will bill the program.

Here is a list of the drugs covered by ADAP: ADAP Formulary, Jan 2023, P-02760 (PDF).

For more information about either program, call 800-991-5532. 

• Acceptable documents list for proof of income and residency—Wisconsin ADAP Acceptable Documents for Proof of Residency and Income
• Client disclosure authorization form—Authorization to Receive and Disclose Information AIDS/HIV Drug Assistance and Insurance Assistance Programs, F-01829 (Word)
• Complaint resolution form—Request for HIV Care Grievance Resolution Wisconsin Communicable Disease Harm Reduction Section HIV Care Unit, F-02925 (Word)
• Exception report for clients not receiving advanced premium tax credits—Wisconsin AIDS Drug Assistance Program (ADAP) Exception Report
• Formulary—AIDS Drug Assistance Program (ADAP) Formulary, April 1, 2021, P-02760 (PDF)
• Grievance and fair hearing policy—AIDS Drug Assistance Program (ADAP) and Insurance Assistance Program (IAP) Grievance and Fair Hearing Policy, P-03185 (PDF)
• Insurance enrollment report—AIDS/HIV Drug Assistance and Insurance Assistance Program Insurance Enrollment Report, F-01423
• Policy exception request sheet—Exception-to-Policy Request, F-01700 (Word)
• Policy manual—Wisconsin ADAP Policy Manual, P-01771 (PDF)

If you’re living with HIV, there are many things you can do to keep healthy and protect others.

Some include:

• Discussing your HIV status with your sex and needle-sharing partners.
• Getting support from care providers and others.
• Reducing the risk to others by taking your medicine as prescribed. This ensures the amount of HIV in your body is small enough that it cannot be passed on to others through sex.
• Working with your health care and social service providers to address any health concerns you may have.

Here are some online resources:

• Common Patient Assistance Program: Application and Companion Document for people with HIV
• Community-Based Organizations helping people with HIV
• Housing and Health for people with HIV
• Newly Diagnosed with HIV
• Living with HIV
• Resources for People with HIV