ADAP in West Virginia — AIDS Drug Assistance Program eligibility and enrollment
The number
West Virginia AIDS Drug Assistance Program supports 770 people living with HIV in West Virginia, with an income cap at 500% of the federal poverty line.
Ryan White Part B
West Virginia Bureau for Public Health, Office of Epidemiology and Prevention Services
State ADAP
West Virginia AIDS Drug Assistance Program
Income cap 500% FPL
State PrEP-DAP
Not operated; federal Ready Set PrEP applies
West Virginia AIDS Drug Assistance Program eligibility + enrollment
West Virginia AIDS Drug Assistance Program serves 770 people, with an income eligibility cap at 500% of the federal poverty line. In West Virginia 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. West Virginia 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 West Virginia 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 1-304-558-2950; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Ryan White Infectious Disease Clinic at CAMC and Covenant House (West Virginia Health Right Affiliate) as the local institutions that show up consistently — both are listed below.
Ryan White Infectious Disease Clinic at CAMC. The Ryan White ID Clinic at Charleston Area Medical Center is West Virginia's largest Ryan White Part C grantee, serving about 900 people living with HIV across the southern half of the state; CAMC hosts the WV CARES regional HIV training program for primary-care providers.
Covenant House (West Virginia Health Right Affiliate). Covenant House in Charleston operates the Ryan White Part B case-management contract for central West Virginia and the state's highest-volume walk-in rapid-testing program at the corner of Capitol and Washington streets.
For Black families in West Virginia
The South carries the heaviest HIV burden in the country: Black Southern residents make up roughly 14% of the U.S. population but account for more than half of new Black HIV diagnoses nationally. Of the 2,300 people living with HIV in West Virginia, a disproportionate share are Black residents — 29% 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 West Virginia
Where to get help in West Virginia
- West Virginia HIV info line: 1-304-558-2950 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- West Virginia Bureau for Public Health, Office of Epidemiology and Prevention Services landing page: https://oeps.wv.gov/hiv-aids/pages/default.aspx.
- Federally Qualified Health Centers in West Virginia: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/wv/.
- State health data for West Virginia: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/west-virginia/.
- West Virginia Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/west-virginia/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- West Virginia Bureau for Public Health, Office of Epidemiology and Prevention Services: https://oeps.wv.gov/hiv-aids/pages/default.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/west-virginia/.
- 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: