ADAP in Vermont — AIDS Drug Assistance Program eligibility and enrollment
The number
Vermont Medication Assistance Program (VMAP) supports 180 people living with HIV in Vermont, with an income cap at 500% of the federal poverty line.
Ryan White Part B
Vermont Department of Health, HIV/AIDS/STD Program
State ADAP
Vermont Medication Assistance Program (VMAP)
Income cap 500% FPL
State PrEP-DAP
Not operated; federal Ready Set PrEP applies
Vermont Medication Assistance Program (VMAP) eligibility + enrollment
Vermont Medication Assistance Program (VMAP) serves 180 people, with an income eligibility cap at 500% of the federal poverty line. In Vermont 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. Vermont Medication Assistance Program (VMAP)'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 Vermont 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 1-800-882-2437; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Comprehensive Care Clinic at University of Vermont Medical Center and Vermont CARES as the local institutions that show up consistently — both are listed below.
Comprehensive Care Clinic at University of Vermont Medical Center. The UVM Comprehensive Care Clinic in Burlington is Vermont's only HIV specialty clinic and the state's Ryan White Part C grantee, serving about 530 people living with HIV through a combination of in-person and telehealth appointments statewide.
Vermont CARES. Vermont CARES in Burlington is the state's Ryan White Part B case-management contractor and operates rapid-testing and harm-reduction services across Chittenden, Rutland, and Washington counties.
For Black families in Vermont
Of the 690 people living with HIV in Vermont, a disproportionate share are Black residents — 13% 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 Vermont
Where to get help in Vermont
- Vermont HIV info line: 1-800-882-2437 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Vermont Department of Health, HIV/AIDS/STD Program landing page: https://www.healthvermont.gov/disease-control/hiv-std.
- Federally Qualified Health Centers in Vermont: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/vt/.
- State health data for Vermont: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/vermont/.
- Vermont Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/vermont/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- Vermont Department of Health, HIV/AIDS/STD Program: https://www.healthvermont.gov/disease-control/hiv-std.
- 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/vermont/.
- 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: