January 27, 2012
| ADAPs With Waiting Lists (4,774 individuals in 12 states*, as of January 26, 2012) | ||||
| State | Number of Individuals on ADAP Waiting List | Percent of the Total ADAP Waiting List | Increase/Decrease From Previous Reporting Period | Date Waiting List Began |
| Alabama | 78 | 2% | 19 | October 2011 |
| Florida | 1,204 | 25% | 95 | June 2010 |
| Georgia | 1,320 | 28% | -28 | July 2010 |
| Idaho | 4 | 0.1% | -1 | February 2011 |
| Louisiana** | 671 | 14% | 23 | June 2010 |
| Montana | 11 | 0.2% | 0 | January 2008 |
| Nebraska | 23 | 0.5% | 5 | October 2011 |
| North Carolina | 136 | 3% | 6 | January 2010 |
| Ohio | 0 | 0% | 0 | July 2010 |
| South Carolina | 224 | 5% | 50 | March 2010 |
| Utah | 0 | 0% | -4 | May 2011 |
| Virginia | 1,103 | 23% | -2 | November 2010 |
|
* As a result of FY2011 ADAP emergency funding, Alabama, Florida, Georgia, Idaho, Louisiana, Montana, North Carolina, Ohio, South Carolina, Utah, and Virginia were able to reduce the overall number of individuals on their waiting lists. ** Louisiana has a capped enrollment on their program. This number represents their current unmet need. | ||||
| ADAPs With Other Cost-Containment Strategies: Financial Eligibility (445 Individuals in 6 States, as of November 9, 2011) | ||||
| State | Lowered Financial Eligibility | Disenrolled Clients | ||
| Arkansas | 500% to 200% FPL | 99 clients (September 2009) | ||
| Illinois | 500% to 300% FPL | Grandfathered in current clients from 301-500% FPL | ||
| North Dakota | 400% to 300% FPL | Grandfathered in current clients from 301-400% FPL | ||
| Ohio | 500% to 300% FPL | 257 clients (July 2010) | ||
| South Carolina | 550% to 300% FPL | Grandfathered in current clients from 301-550% FPL | ||
| Utah | 400% to 250% FPL | 89 clients (September 2009) | ||
Alabama: reduced formulary
Arizona: reduced formulary
Arkansas: reduced formulary
Colorado: reduced formulary
Florida: reduced formulary, transitioned 5,403 clients to Welvista from February 15 to March 31, 2011
Georgia: reduced formulary, implemented medical criteria, participating in the Alternative Method Demonstration Project
Illinois: reduced formulary, instituted monthly expenditure cap ($2,000 per client per month), disenrolled clients not accessing ADAP for 90 days
Kentucky: reduced formulary
Louisiana: discontinued reimbursement of laboratory assays
North Carolina: reduced formulary
North Dakota: capped enrollment, instituted annual expenditure cap
Ohio: reduced formulary
Puerto Rico: reduced formulary
Utah: reduced formulary
Virginia: reduced formulary, restricted eligibility criteria, transitioned 204 clients onto waiting list
Washington: instituted client cost sharing, reduced formulary, only paying insurance premiums for clients currently on antiretrovirals
Wyoming: capped enrollment, reduced formulary, instituted client cost sharing
Alaska: reduce formulary
Florida: lower financial eligibility
Kentucky: reduce formulary
Montana: reduce formulary
Oregon: reduce formulary
Puerto Rico: reduce formulary
Tennessee: establish waiting list
Wyoming: establish waiting list, lower financial eligibility, institute client cost sharing
Case management services are being provided to ADAP waiting list clients through ADAP (2 ADAP), Part B (9 ADAPs), contracted agencies (5 ADAPs), and other agencies, including other Parts of Ryan White (4 ADAPs).
For clients on ADAP waiting lists who are currently on or in need of medications, 11 ADAP waiting list states can confirm that ADAP waiting list clients are receiving medications through either pharmaceutical company patient assistance programs (PAPs), Welvista, or other mechanisms available within the state.
*** March 31, 2012 is the end of ADAP FY2011. ADAP fiscal years begin April 1 and ends March 31.