ADAP in Missouri — AIDS Drug Assistance Program eligibility and enrollment

Missouri AIDS Drug Assistance Program serves 3,200 people, with an income eligibility cap at 300% of the federal poverty line. In Missouri 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. Missouri 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 Missouri 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 1-800-533-2437; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Washington University Infectious Diseases Clinic (the Center for Positive Health) and Kansas City CARE Health Center as the local institutions that show up consistently — both are listed below.

Washington University Infectious Diseases Clinic (the Center for Positive Health). The Center for Positive Health at Washington University in St. Louis is Missouri's largest Ryan White Part C grantee, serving about 2,400 people living with HIV; Wash U co-sponsors the EHE Blueprint for St. Louis with the city Department of Health.

Kansas City CARE Health Center. Kansas City CARE Health Center (formerly the Kansas City Free Health Clinic) is the Ryan White Part B case-management contractor for western Missouri, operating the state's highest-volume Black-community-focused rapid-testing program out of the East 31st Street clinic.