ADAP in Nebraska — AIDS Drug Assistance Program eligibility and enrollment
The number
Nebraska AIDS Drug Assistance Program supports 880 people living with HIV in Nebraska, with an income cap at 300% of the federal poverty line.
Ryan White Part B
Nebraska Department of Health and Human Services, Division of Public Health, Ryan White Part B Program
State ADAP
Nebraska AIDS Drug Assistance Program
Income cap 300% FPL
State PrEP-DAP
Not operated; federal Ready Set PrEP applies
Nebraska AIDS Drug Assistance Program eligibility + enrollment
Nebraska AIDS Drug Assistance Program serves 880 people, with an income eligibility cap at 300% of the federal poverty line. In Nebraska 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. Nebraska 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 Nebraska 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 1-402-471-2937; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Nebraska AIDS Project and University of Nebraska Medical Center Specialty Care Clinic as the local institutions that show up consistently — both are listed below.
Nebraska AIDS Project. Nebraska AIDS Project in Omaha is the state's Ryan White Part B case-management contractor, with satellite offices in Lincoln, Kearney, Grand Island, Norfolk, and Scottsbluff serving the full state through a combination of in-person and telehealth appointments.
University of Nebraska Medical Center Specialty Care Clinic. UNMC's Specialty Care Clinic in Omaha is Nebraska's largest Ryan White Part C grantee, serving about 1,400 people living with HIV statewide, with a dedicated outreach program for North Omaha's Black community and the Mike Allen Cares education fund.
For Black families in Nebraska
Of the 2,800 people living with HIV in Nebraska, a disproportionate share are Black residents — 30% 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 Nebraska
Where to get help in Nebraska
- Nebraska HIV info line: 1-402-471-2937 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Nebraska Department of Health and Human Services, Division of Public Health, Ryan White Part B Program landing page: https://dhhs.ne.gov/Pages/Ryan-White-Part-B.aspx.
- Federally Qualified Health Centers in Nebraska: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/ne/.
- State health data for Nebraska: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/nebraska/.
- Nebraska Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/nebraska/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- Nebraska Department of Health and Human Services, Division of Public Health, Ryan White Part B Program: https://dhhs.ne.gov/Pages/Ryan-White-Part-B.aspx.
- 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/nebraska/.
- 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: