ADAPs with Waiting Lists
(4,155 individuals in 12 states*, as of December 8, 2011)
State
Number of
Individuals on ADAP
Waiting List
Percent of the Total
ADAP Waiting List
Increase/Decrease
from Previous
Reporting Period
Date Waiting
List Began
Alabama
81
2%
-4
October 2011
Florida
954
23%
148
June 2010
Georgia
1,179
28%
-341
July 2010
Idaho
11
0%
6
February 2011
Louisiana**
542
13%
27
June 2010
Montana
8
0%
-1
January 2008
Nebraska
10
0%
1
October 2011
North Carolina
112
3%
6
January 2010
Ohio
0
0%
0
July 2010
South Carolina
137
3%
45
March 2010
Utah
25
1%
2
May 2011
Virginia
1,096
26%
-8
November 2010
ADAPs with Other Cost-containment Strategies: Financial Eligibility
(445 individuals in 6 states, as of November 9, 2011)
State
Lowered Financial Eligibility
Disenrolled Clients
Arkansas
500% to 200% FPL
99 clients (September 2009)
Illinois
500% to 300% FPL
Grandfathered in current clients from 301-500% FPL
North Dakota
400% to 300% FPL
Grandfathered in current clients from 301-400% FPL
Ohio
500% to 300% FPL
257 clients (July 2010)
South Carolina
550% to 300% FPL
Grandfathered in current clients from 301-550% FPL
Utah
400% to 250% FPL
89 clients (September 2009)
*As a result of FY2011 ADAP emergency funding, Alabama, Florida, Georgia, Idaho, Louisiana, Montana, North
Carolina, Ohio, South Carolina, Utah, and Virginia were able to reduce the overall number of individuals on their
waiting lists.
**Louisiana has a capped enrollment on their program. This number represents their current unmet need.
December 9, 2011
ADAPs with Other Cost-containment Strategies (instituted since April 1, 2009, as of November 9, 2011)
Alabama: reduced formulary
Arizona: reduced formulary
Arkansas: reduced formulary
Colorado: reduced formulary
Florida: reduced formulary, transitioned 5,403 clients to Welvista from February 15 to March 31, 2011
Georgia: reduced formulary, implemented medical criteria, participating in the Alternative Method
Demonstration Project
Illinois: reduced formulary, instituted monthly expenditure cap ($2,000 per client per month),
disenrolled clients not accessing ADAP for 90-days
Kentucky: reduced formulary
Louisiana: discontinued reimbursement of laboratory assays
North Carolina: reduced formulary
North Dakota: capped enrollment, instituted annual expenditure cap
Ohio: reduced formulary
Puerto Rico: reduced formulary
Utah: reduced formulary
Virginia: reduced formulary, restricted eligibility criteria, transitioned 204 clients onto waiting list
Washington: instituted client cost sharing, reduced formulary, only paying insurance premiums for clients
currently on antiretrovirals
Wyoming: capped enrollment, reduced formulary, instituted client cost sharing
ADAPs Considering New/Additional Cost-containment Measures (before March 31, 2012***)
Alaska: reduce formulary
Florida: lower financial eligibility
Kentucky: reduce formulary
Montana: reduce formulary
Oregon: reduce formulary
Puerto Rico: reduce formulary
Tennessee: establish waiting list
Washington: establish waiting list
Wyoming: establish waiting list, lower financial eligibility, institute client cost sharing
Access to Medications (as of November 9, 2011)
Case management services are being provided to ADAP waiting list clients through ADAP (2 ADAP),
Part B (9 ADAPs), contracted agencies (5 ADAPs), and other agencies, including other Parts of Ryan
White (4 ADAPs).
For clients on ADAP waiting lists who are currently on or in need of medications, 11 ADAP waiting list
states can confirm that ADAP waiting list clients are receiving medications through either
pharmaceutical company patient assistance programs (PAPs), Welvista, or other mechanisms available
within the state.
***March 31, 2012 is the end of ADAP FY2011. ADAP fiscal years begin April 1 and ends March 31.
