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


    MADAP NEWS

    The Maryland Department of Health experienced a network outage that impacted the MADAP client database and network. We remain unable to access our client database and network, however, we have identified a viable solution to resume eligibility determinations for established MADAP clients, and will need your help to work through the process. We are unable to enroll new MADAP clients at this time due to the inability to access our database. However, we have identified potential solutions to help with medication access gaps for those clients who have never received MADAP’s services. 

    Below you will find guidance related to access of MADAP services for established clients and guidance related to new/non-established clients. 

    For established clients:

    • Due to our lack of access to client contact information, we are unable to proactively mail out recertification applications in batches per usual at the beginning of each month. For clients who are due for recertification or need to reactivate their MADAP service, we are asking that a full MADAP Application be completed and sent for processing. Please complete the application as much as possible and submit required supporting documents (proof of income and residency), to ensure that we have correct contact information to be able to communicate with the client/case manager and complete information to prevent delays in determinations.  For now, the one-page recertification application is on hold and will not be mailed out again until further notice. We are urgently processing all applications manually as they come in to us.  The full MADAP application can also be accessed via our website at Maryland AIDS Drug Assistance Program.
    • To ensure that all documents are kept together, when submitting any documents separately from the MADAP application, please clearly write the client MADAP ID or client name on each page in the corner of the document.
    • Insurance premium payments - please continue to send insurance premium invoices. We are working with each of our insurance partners to address payment options.
    • Applications/insurance invoices can be sent via mail, email (encrypted preferred), or dropped off at the MADAP office during normal business hours. Do not fax any documents to the MADAP office, we are unable to receive them. Only use the aforementioned methods to send applications and supporting documents. Emailed applications can be sent to client.services@maryland.gov .  
    • Any client who is deemed to be ineligible for MADAP services will be contacted via phone to alert them until mailed documentation is resumed. Please ensure a good phone number is provided with application documents.
    For new/non-established clients:

    • MADAP is unable to generate client ID numbers for newly enrolled clients. While working through alternative methods to secure MADAP ID numbers, we are taking each case individually to determine the best course of action to help with medication access. Partner organizations that have the ability to provide medication for MADAP eligible clients are being asked to do so. 
    • Patient assistance programs are listed here for options to provide medication for uninsured and underinsured clients.  


    Find Q&A information from the MADAP Urgent program discontinuation and Ending of the State of Emergency community listening sessions at this link: ​MADAP Listening Sessions

    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.
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    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.


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