Illinois Resources
- Chicago DPH Office of Health Care Access
- Illinois Benefits
- www.medicareinteractive.org
- Benefits Checkup
- Illinois Covered
- Illinois I-Save Drug Discount Program
Illinois Contacts
- Illinois Public Contact Number: (800) 825-3518
- Nancy K. Abraham, MPA
ADAP/CHIC Administrator
Illinois Dept. of Public Health
525 W. Jefferson, 1st Flr.
Springfield, IL 62761
Phone: (217) 524-5983
nancy.abraham@illinois.gov
Illinois AIDS Drug Assistance Program (ADAP)
Program Eligibility
To be eligible for the ADAP you must have AIDS or HIV, and live in Illinois. You must fill out an application and renew your status on an annual basis. To qualify financially your anticipated gross annual income must be at or below 400 percent of the current federal poverty level for the size of the household: $40,840 for a household of one; $54,760 for a household of two. If you have no income you must include a Letter of Support form which explains who is covering your living expenses.
All ADAP applications are reviewed and approved by program staff after verification of information provided on the application. Only signed and completed forms with required documentation will be processed. Completed applications are to be accompanied with proof of
- Income
- most recent CD4 test results
- residency, such as a copy of a utility bill, valid driver's license or state I.D. card
In addition, a cross-match with the Medicaid database is done to ensure that you are not currently eligible for that program.
ADAP Benefits
Clients are allowed a maximum of 5 drugs in Category-I plus a reduced dose of ritonavir up to a total of $2,000 monthly benefit. Ritonavir acts in a synergistic effect to booster the benefit of certain other anti-HIV drugs.In addition, ADAP allows access to 3 other more expensive drugs in Category-V by prior approval. This means there should not be a problem if you need 4 or 5 antiretrovirals drugs plus ritonavir. Atripla, a three drug combination pill of Sustiva, Viread and Emtriva counts as three drugs although it is one pill. The same is true of drugs like Combivir (two drugs) and Trizivir (3 drugs). Some drugs that are not in Category I require a separate application, and have a certain number of slots available. These include Fuzeon, Aptivus and Valcyte.
All ADAP drugs are currently purchased directly from Amerisource Bergen Drug at a discounted price and shipped to PharmaCare Pharmacy, for dispensing. Prescriptions must be sent or faxed to PharmaCare Pharmacy and clients receive their drugs via mail order. Clients must contact PharmaCare Pharmacy each month to confirm shipment date for the next scheduled refill.
Program Restrictions
Most states will first see if you are eligible for Medicaid or other programs before enrolling you into ADAP. If you are waiting on a Medicaid application or on Medicaid spend-down, you are still eligible for ADAP if you meet the program's requirements.
You are not eligible for ADAP if greater than 80 percent of your drugs are covered through health insurance, or if you are eligible for medical assistance through the Illinois Department of Healthcare and Family Services, Medical Assistance Program on the date drugs are obtained through ADAP. Also, you are not eligible if covered by the Medicare Part - D prescription drug plan and have assistance through Social Security "Extra Help" or assistance through Illinois Cares Rx.
Illinois Program Contacts - Illinois specific contact information for different programs through which you can access a variety of services. Includes links to other resources. 
Case Management, Health Care and Support Services :
Find a health care provider, case management services, or service providers and community organizations in Illinois, including the AIDS Education and Training Center in your region.
Accessing HIV or Hepatitis Treatments and other Resources : The treatments and services covered in Illinois and other potential sources of treatments for people with HIV or Hepatitis are also listed. 
Hepatitis Treatment, Care and other Resources : Illinois Hepatitis vaccination, immunization, treatment coverage for hepatitis, including HCV and HBV
Patient Assistance Programs : Sometimes a state has a waiting list until certain programs become available. You may need to try a Patient Assistance Program, or try to get Medicaid or Medicare or private insurance first. 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. The pharmaceutical industry has set up programs that offer medications for free, or sometimes 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 like pparx.org. Your doctor or another member of your health care team like a case manager will usually help you out to apply, and you may need to apply to more than one company for the treatments you need.
Contact The Network for help getting drugs or services. Our national toll-free phone number is (800) 734-7104. We'll help explain what your options are and assist you in creating a plan. We'll describe programs like Medicaid, Medicare, Medicare Part D, ADAP, Clinical Trials, Patient Assistance Programs and more. Return to The Access Project
National and State Access News - We keep track of the efforts of community groups, professional groups, educational associations, and federal and state government changes that could affect how and whether you can access the care and treatment you need. Let us know what is going on in your state. Follow or add to this effort of The Access Project News
