ADAP in Maryland — AIDS Drug Assistance Program eligibility and enrollment

Maryland AIDS Drug Assistance Program (MADAP) serves 9,100 people, with an income eligibility cap at 500% of the federal poverty line. In Maryland 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. Maryland AIDS Drug Assistance Program (MADAP)'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 Maryland 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 1-410-767-5013; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Johns Hopkins Moore Clinic for HIV Care and University of Maryland THRIVE (Immune Deficiency Program) as the local institutions that show up consistently — both are listed below.

Johns Hopkins Moore Clinic for HIV Care. The Moore Clinic at Johns Hopkins Hospital in Baltimore is one of the largest Ryan White Part C clinics in the country, serving nearly 3,000 people living with HIV — 80% Black — and hosting the Hopkins CFAR's Black-HIV implementation science program since 1984.

University of Maryland THRIVE (Immune Deficiency Program). UMMC's THRIVE program in Baltimore — the Institute of Human Virology clinical arm — serves about 6,000 people living with HIV across Baltimore City and western Maryland, with the JACQUES Initiative's Black-community outreach and retention-in-care program on North Avenue.