ADAP in Michigan — AIDS Drug Assistance Program eligibility and enrollment
The number
Michigan Drug Assistance Program (MIDAP) supports 5,900 people living with HIV in Michigan, with an income cap at 500% of the federal poverty line.
Ryan White Part B
Michigan Department of Health and Human Services, HIV Care Section
State ADAP
Michigan Drug Assistance Program (MIDAP)
Income cap 500% FPL
State PrEP-DAP
Michigan PrEP Assistance Program (MIPAP)
Michigan Drug Assistance Program (MIDAP) eligibility + enrollment
Michigan Drug Assistance Program (MIDAP) serves 5,900 people, with an income eligibility cap at 500% of the federal poverty line. In Michigan 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. Michigan Drug Assistance Program (MIDAP)'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 Michigan 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 1-888-826-6263; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Henry Ford Health HIV Clinic and Ruth Ellis Center Health and Wellness Center as the local institutions that show up consistently — both are listed below.
Henry Ford Health HIV Clinic. The Henry Ford Health HIV Clinic in Detroit is Michigan's largest Ryan White Part C grantee, serving about 2,900 people living with HIV — nearly 80% Black — and co-sponsoring the annual Detroit Black Gay Pride health fair.
Ruth Ellis Center Health and Wellness Center. The Ruth Ellis Center in Highland Park operates Michigan's only LGBTQ+-youth-specific HIV testing and PrEP clinic, co-located with the Corktown Health Center's FQHC PrEP program, serving roughly 800 rapid-test visits annually.
For Black families in Michigan
Of the 19,300 people living with HIV in Michigan, a disproportionate share are Black residents — 57% 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 Michigan
Henry Ford Health HIV Clinic — New Center One
Detroit, MI • 1-313-916-2555
Ruth Ellis Center Health and Wellness Clinic
Highland Park, MI • 1-313-252-1950
Corktown Health Center
Detroit, MI • 1-313-832-7200
Community AIDS Resource and Education Services (CARES) — Kalamazoo
Kalamazoo, MI • 1-269-381-2437
Grand Rapids Red Project
Grand Rapids, MI • 1-616-456-9063
Detroit Health Department — Herman Kiefer Complex STI Clinic
Detroit, MI • 1-313-876-4000
Where to get help in Michigan
- Michigan HIV info line: 1-888-826-6263 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Michigan Department of Health and Human Services, HIV Care Section landing page: https://www.michigan.gov/mdhhs/keep-mi-healthy/communicablediseases/hiv.
- Federally Qualified Health Centers in Michigan: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/mi/.
- State health data for Michigan: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/michigan/.
- Michigan Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/michigan/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- Michigan Department of Health and Human Services, HIV Care Section: https://www.michigan.gov/mdhhs/keep-mi-healthy/communicablediseases/hiv.
- 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/michigan/.
- 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: