ADAP in Delaware — AIDS Drug Assistance Program eligibility and enrollment
The number
Delaware AIDS Drug Assistance Program (DE-ADAP) supports 900 people living with HIV in Delaware, with an income cap at 500% of the federal poverty line.
Ryan White Part B
Delaware Division of Public Health, HIV Program
State ADAP
Delaware AIDS Drug Assistance Program (DE-ADAP)
Income cap 500% FPL
State PrEP-DAP
Delaware PrEP Assistance Program
Delaware AIDS Drug Assistance Program (DE-ADAP) eligibility + enrollment
Delaware AIDS Drug Assistance Program (DE-ADAP) serves 900 people, with an income eligibility cap at 500% of the federal poverty line. In Delaware that means your gross annual income can be up to $76,255 for a household of one (at 2025 HHS poverty guidelines) and you still qualify. ADAP is the 'payer of last resort' for HIV medications: it covers people with no insurance, fills the gap for people on Medicare Part D, and pays co-pays for people on commercial insurance.
What ADAP covers: all FDA-approved antiretroviral medications on the state formulary (every ADAP covers the WHO-recommended first-line regimens), plus many opportunistic-infection prophylaxis drugs, lab work in states where the ADAP pays for labs directly, and in some states hepatitis B and C treatment. Delaware AIDS Drug Assistance Program (DE-ADAP)'s formulary is published on the state health department website and is updated at least annually.
How to enroll: a case manager at a Ryan White Part B or Part C clinic completes the application with you. You'll need proof of HIV diagnosis (a lab report or physician letter), proof of Delaware residency, proof of income (pay stubs, tax return, benefit letter), and documentation of insurance status. Decisions typically return within two weeks; medications are dispensed through participating pharmacies at no cost once you're enrolled. Recertification is annual.
The state HIV info line is 1-302-744-1050; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Christiana Care Center for HIV Wellness and AIDS Delaware as the local institutions that show up consistently — both are listed below.
Christiana Care Center for HIV Wellness. The Christiana Care Center for HIV Wellness in Wilmington serves roughly two-thirds of Delaware's people living with HIV and is the state's only Ryan White Part C grantee; its Wilmington campus hosts the state HIV mortality review board.
AIDS Delaware. AIDS Delaware, based in Wilmington with satellites in Dover and Georgetown, operates Delaware's Part B case-management contract, distributes free home-test kits statewide, and hosts annual Black HIV Awareness Day events on February 7.
For Black families in Delaware
The South carries the heaviest HIV burden in the country: Black Southern residents make up roughly 14% of the U.S. population but account for more than half of new Black HIV diagnoses nationally. Of the 3,700 people living with HIV in Delaware, a disproportionate share are Black residents — 56% of the new diagnoses each year, same proportion or higher of the cumulative prevalence. ADAP is what keeps many of those residents virally suppressed, because the alternative — paying retail for daily antiretrovirals — would run roughly $30,000-$40,000 a year. If your income has you worried about whether you qualify, call the state HIV line first. Ryan White case managers know the eligibility rules better than most insurance navigators and will pull you through the application rather than bouncing you to paperwork.
Named HIV testing + PrEP sites in Delaware
Christiana Care Center for HIV Wellness
Newark, DE • 1-302-733-3300
AIDS Delaware — Wilmington Office
Wilmington, DE • 1-302-652-6776
AIDS Delaware — Dover Office
Dover, DE • 1-302-652-6776
Delaware Division of Public Health — Porter State Service Center
Wilmington, DE • 1-302-744-4700
Where to get help in Delaware
- Delaware HIV info line: 1-302-744-1050 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Delaware Division of Public Health, HIV Program landing page: https://dhss.delaware.gov/dhss/dph/dpc/hivprev.html.
- Federally Qualified Health Centers in Delaware: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/de/.
- State health data for Delaware: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/delaware/.
- Delaware Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/delaware/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- Delaware Division of Public Health, HIV Program: https://dhss.delaware.gov/dhss/dph/dpc/hivprev.html.
- CDC HIV Surveillance Report 2022: cdc.gov/hiv/library/reports/hiv-surveillance.html. Source for state-level new diagnoses and race-stratified counts.
- HRSA HIV/AIDS Bureau, Ryan White HIV/AIDS Program grantee list: ryanwhite.hrsa.gov/grants/part-b.
- NASTAD ADAP Monitoring Project 2024 Annual Report: nastad.org/adap-monitoring-project. Source for ADAP income cap + enrollment + PrEP-DAP data.
- AIDSVu state profile: aidsvu.org/state/delaware/.
- Kaiser Family Foundation, The Ryan White HIV/AIDS Program fact sheet: kff.org/global-health-policy/fact-sheet/the-ryan-white-hivaids-program.
Data refreshed: