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The ADAP Watch

November 12, 2010

ADAPs With Waiting Lists (3,811 Individuals in 9 States*, as of November 11, 2010)

Florida: 2,043 individuals
Georgia: 672 individuals
Iowa: 39 individuals
Louisiana: 404 individuals**
Montana: 10 individuals
North Carolina: 66 individuals
Ohio: 328 individuals
Rhode Island: 10 individuals
South Carolina: 239 individuals

ADAPs With Other Cost-Containment Strategies (Instituted Since April 1, 2009, as of September 29, 2010)

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Arizona: reduced formulary
Arkansas: reduced formulary, lowered financial eligibility to 200% FPL
Colorado: reduced formulary
Florida: reduced formulary
Georgia: reduced formulary, implemented medical criteria, continued participation in the Alternative Method Demonstration Project (AMDP)
Idaho: capped enrollment
Illinois: reduced formulary, instituted monthly expenditure cap
Kentucky: reduced formulary
Louisiana: discontinued reimbursement of laboratory assays
New Jersey: reduced formulary
North Carolina: reduced formulary
North Dakota: capped enrollment, instituted annual expenditure cap, lowered financial eligibility to 300% FPL
Ohio: reduced formulary, lowered financial eligibility to 300% FPL (disenrolled 257 clients)
South Carolina: instituted annual expenditure cap, lowered financial eligibility to 300% FPL
Utah: reduced formulary, lowered financial eligibility to 250% FPL (disenrolled 89 clients)
Washington: instituted client cost sharing, reduced formulary (for uninsured clients only)
Wyoming: capped enrollment, reduced formulary

ADAPs Considering New/Additional Cost-Containment Measures (Before March 31, 2011***)

Arizona: establish waiting list
Colorado: establish waiting list
Idaho: establish waiting list
Illinois: reduce formulary, institute monthly expenditure cap, lower financial eligibility to 350% FPL
Mississippi: reduce formulary, lower financial eligibility to 200% FPL, institute monthly expenditure cap
New Jersey: institute policy that clients between 300% and 500% FPL will only receive antiretrovirals and opportunistic infection medications
Ohio: disenroll approximately 861 clients based on new medical criteria
Oregon: increase client cost sharing
Puerto Rico: reduce formulary
South Carolina: disenroll 200 clients
Virginia: establish waiting list, reduce formulary
Washington: disenroll clients who fail to participate in insurance requirement
Wyoming: establish waiting list, reduce formulary

* As a result of ADAP Emergency Funding, Hawaii, Idaho, Kentucky, South Dakota, and Utah have eliminated their waiting lists.
** Louisiana has a capped enrollment on their program. This number is a representation of their current unmet need.
*** March 31, 2011 is the end of ADAP FY2010. ADAP fiscal years begin April 1 and end March 31.




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