ADAP in Idaho — AIDS Drug Assistance Program eligibility and enrollment

Idaho AIDS Drug Assistance Program serves 280 people, with an income eligibility cap at 200% of the federal poverty line. In Idaho that means your gross annual income can be up to $30,502 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. Idaho AIDS Drug Assistance Program'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 Idaho 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 1-208-334-5944; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Allies Linked for the Prevention of HIV and AIDS (A.L.P.H.A.) and Saint Alphonsus Regional Medical Center Infectious Diseases Clinic as the local institutions that show up consistently — both are listed below.

Allies Linked for the Prevention of HIV and AIDS (A.L.P.H.A.). A.L.P.H.A. in Boise is Idaho's statewide HIV community-based organization, contracted by the state for Ryan White Part B case management, with mobile testing reaching Pocatello, Lewiston, and Idaho Falls on a monthly rotation.

Saint Alphonsus Regional Medical Center Infectious Diseases Clinic. Saint Alphonsus in Boise hosts Idaho's only HIV specialty clinic, a Ryan White Part C subgrantee covering the entire state through a combination of in-person and telehealth appointments for patients in Kootenai, Bannock, and Twin Falls counties.