ADAP in Kentucky — AIDS Drug Assistance Program eligibility and enrollment

Kentucky AIDS Drug Assistance Program (KADAP) serves 3,600 people, with an income eligibility cap at 300% of the federal poverty line. In Kentucky that means your gross annual income can be up to $45,753 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. Kentucky AIDS Drug Assistance Program (KADAP)'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 Kentucky 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 1-502-564-6539; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Bluegrass Care Clinic at the University of Kentucky and Volunteers of America Mid-States Helping Lead Advocacy as the local institutions that show up consistently — both are listed below.

Bluegrass Care Clinic at the University of Kentucky. The Bluegrass Care Clinic in Lexington is Kentucky's largest Ryan White Part C grantee, serving about 2,400 people living with HIV across central and eastern Kentucky, including Appalachia's three rural outreach telehealth hubs.

Volunteers of America Mid-States Helping Lead Advocacy. VOA Mid-States in Louisville is the Ryan White Part B case-management contractor for the Louisville metropolitan area and western Kentucky, with the state's only Black-men-focused peer-support program operating out of the West Market Street office.