ADAP in Washington — AIDS Drug Assistance Program eligibility and enrollment
The number
Washington Early Intervention Program (Apple Health for HIV) supports 4,200 people living with HIV in Washington, with an income cap at 500% of the federal poverty line.
Ryan White Part B
Washington State Department of Health, Office of Infectious Disease
State ADAP
Washington Early Intervention Program (Apple Health for HIV)
Income cap 500% FPL
State PrEP-DAP
Washington PrEP Drug Assistance Program (PrEP DAP)
Washington Early Intervention Program (Apple Health for HIV) eligibility + enrollment
Washington Early Intervention Program (Apple Health for HIV) serves 4,200 people, with an income eligibility cap at 500% of the federal poverty line. In Washington 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. Washington Early Intervention Program (Apple Health for HIV)'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 Washington 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 1-360-236-3460; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Madison Clinic at Harborview Medical Center and Entre Hermanos as the local institutions that show up consistently — both are listed below.
Madison Clinic at Harborview Medical Center. The Madison Clinic at Harborview in Seattle is Washington's largest Ryan White Part C grantee, serving about 2,800 people living with HIV; Madison co-hosts the Fred Hutchinson AIDS Malignancy Consortium and the University of Washington CFAR implementation science core.
Entre Hermanos. Entre Hermanos in Seattle is Washington's Latino-LGBTQ+-led HIV service organization, operating the only Spanish-language-primary rapid-testing program in the Pacific Northwest and the Promotores de Salud peer-navigation network across King, Pierce, and Snohomish counties.
For Black families in Washington
Of the 16,000 people living with HIV in Washington, a disproportionate share are Black residents — 26% 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 Washington
Madison Clinic — Harborview Medical Center
Seattle, WA • 1-206-744-5107
Entre Hermanos — Seattle
Seattle, WA • 1-206-322-7700
Lifelong — Seattle
Seattle, WA • 1-206-957-1600
Public Health — Seattle & King County — Capitol Hill STI & HIV Clinic
Seattle, WA • 1-206-744-3590
Where to get help in Washington
- Washington HIV info line: 1-360-236-3460 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Washington State Department of Health, Office of Infectious Disease landing page: https://doh.wa.gov/you-and-your-family/illness-and-disease-z/hiv.
- Federally Qualified Health Centers in Washington: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/wa/.
- State health data for Washington: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/washington/.
- Washington Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/washington/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- Washington State Department of Health, Office of Infectious Disease: https://doh.wa.gov/you-and-your-family/illness-and-disease-z/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/washington/.
- 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: