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District of Columbia (DC)

    This information has not yet been verified by District of Columbia or the persons listed on the District of Columbia pages. Please contact us if you have changes or corrections. Thank You.

  • ADAP Public Contact Number: (202) 671-4900

  • District of Columbia ADAP Website
    DC ADAP Website

  • District of Columbia Medicaid Information
    Medicaid, Child Health and more

    This is the Medical Assistance Administration

  • District of Columbia Medicare and Medicare Part D
    Medicare and Medicare Part D

  • The District of Columbia has an AIDS Hotline: (202) 332-2437

Eligibility and Enrollment Information

  • ADAP Director
    Tanya Ehrmann
    Interim ADAP Chief
    HIV/AIDS Administration
    (202) 671-4900
    e-mail: tanya.ehrmann@dc.gov

Eligibility

There is an application for health services, including DC ADAP, Cobra, Medicaid Expansion, and Ticket to Work administered by the District of Columbia Department of Health. A doctor or case manager can help you fill out this form. The form is available by calling them, or going to the ADAP website listed above. Fax the application and the required documents to: FAX (202) 673-4365.

Required Documents:

  • Original birth certificate (case manager can provide signed attestation that they viewed original and submit a copy)
  • Submit a request for the District’s Income Maintenance Administration to locate the original birth certificate
  • Certificate of Citizenship or Naturalization
  • Copy of a green card or other documentation that includes the A number

HIV status (only one of the following is necessary)

  • Doctor’s signature or Case manager’s signature.
Residency verification documents (only one needed)
  • Copy of utility bill
  • a letter from a government agency with your DC address listed
  • Voter registration card
  • DC driver’s license
  • Non-driver’s identification
  • Lease or mortgage agreement
  • If you are homeless, please have case manager provide support documentation on facility letterhead.
Income/Work Documentation (only one needed)
  • Wages - at least one month of pay stubs or a letter from employer stating hours worked and wages paid
  • Income - a Social Security, public assistance, unemployment, Veteran’s benefits, pension check stub or award letter
Asset Documentation (all that are applicable)
  • Asset Limit is $5,000
  • Checking Account
  • Savings Accounts
  • Certificates of Deposit
  • Stocks/Bonds or Mutual Funds/Trusts
Insurance Information (if applicable)
  • Health insurance/Medicare Part D card
  • letter from insurance company, proof of monthly premium, deductible, or co-payment amount(s) as needed
  • COBRA documentation (if applicable), including Cobra eligibility letter from employer, billing statement, and proof of up to three (3) months of paid premiums

Other Services
  • The Insurance Continuation Program pays for ADAP eligible clients' premiums. Contact a case manager. Insurance Coverage Insurance coverage does not disqualify you from receiving ADAP benefits. If you have used all of your insurance benefits for the year (i.e. met your insurance cap for prescription drugs), you may be eligible for DC ADAP.

  • If you have not met your cap, DC ADAP can help pay for deductible and co-payment costs for HIV-related prescription drugs. You may also be able to get help with paying your monthly premium. Learn more about how DC ADAP can help with health insurance costs.

  • Pharmacies

About the District of Columbia

  • State and National Resources - The District of Columbia specific contact information for different programs through which you can access a variety of services. This page also includes national resources, and links to other sources.

  • Care Networks and Care Providers : The District of Columbia has HIV Care Consortia agencies and organizations that can either provide or refer you to a case manager or a health care provider. This is funded by the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. The participating agencies are listed, as are some other resources.

  • Accessing Treatments and other Resources : The District of Columbia has a list or formulary of drugs and other services they cover through ADAP and other programs.Other potential sources of treatments for people with HIV or Hepatitis are also listed.

  • Hepatitis Resources : The District of Columbia has Hepatitis vaccination programs, and covers some treatments for hepatitis B and Hepatitis C through their program.

Waiting List? - Sometimes a state has a waiting list people have to stay on until spaces become available. Check to see if there is a waiting list for the program by contacting them directly. According to NASTAD's most recent ADAP Watch The District of Columbia does not have a waiting list. Otherwise, you may need to try a Patient Assistance Program or apply for Medicaid or Medicare or private insurance. Do not ever drop your private insurance without first seeing if your state will cover part or the whole premium, especially if you have children.

  • Patient Assistance Programs : the pharmaceutical industry has set up programs that offer medications for free, or at a very low price. You may have to apply directly to a specific company, or use a national service set up by a group of companies called pparx.org. There are also other companies that charge a fee for applying to these programs. Your doctor or another member of your health care team like a case manager will usually help you out to apply, although some times you need to apply to more than one company. A group called the HIVMA is working towards getting the extra resources that help your health care team to provide care, and to help you do things like apply for these programs.

  • Medicaid - HIV medications are covered by government programs and most private insurance. Many people with HIV disease are covered by Medicaid. If your are on Medicaid there is a wide range of services and care that are covered. You will be switched over to Medicaid if you become eligible for that program while on ADAP. This may happen if, for example, you are using ADAP to help you with your Spenddown. If you have any questions contact The Access Project (network@atdn.org) and we'll help to explain how this affects your access to drugs and care for HIV and related conditions.

  • Medicare and Medicare Part D - Some people with HIV are on Medicare. As with Medicaid, contact us if you have questions that have not been answered by The District of Columbia Medicaid website, or your District of Columbia HIV Care Consortium or other Case Manager.

  • Confused or Have Questions? You can always contact The Access Project (theaccessproject@atdn.org) by e-mail or phone and ask questions about all this information. We are a non-profit, community based organization whose goal is to help you access the care and resources you need. There are also many excellent resources that provide extensive descriptions and information about these programs. Check out NASTAD's list of publications for comprehensive descriptions of Medicaid, Medicare, Medicare Part D, ADAP and other important topics. Other links are also listed throughout The Access Project and the AIDS Treatment Data Network website pages.



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Last modified: 03/11/2007
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