HIV/AIDS Treatment and Services
The goal of the HIV Services Program is to support primary medical care and essential support services to persons living with HIV/AIDS. The two major sources of funding for the program are the Federal Ryan White HIV/AIDS Program (Part B and ADAP) and State General Funds. The Ryan White Part B Program works with cities, states, and local community-based organizations to provide HIV-related services to more than half a million people across the United States each year. The program is for those who do not have sufficient health care coverage or financial resources for coping with HIV disease. Ryan White fills gaps in care not covered by other sources.
In New Mexico, the combined funding for the program is used for a combination of core medical services and support services. This primarily includes outpatient and ambulatory health services; the AIDS Drug Assistance Program (ADAP); oral health care; health insurance premium and cost-sharing assistance; medical and non-medical case management; mental health services; emergency financial assistance; food vouchers; medical transportation, and housing assistance. In addition, staff with the HIV Services Program work to promote professional development of providers performing HIV medical and case management care and work on projects related to clinical quality management.
The program contracts with community-based organizations (clinical and social services) as well as providing services through a Public Health Office in the southwestern portion of the state. This system of care ensures that persons living with HIV/AIDS in both urban and rural parts of the state have access to care and services.
- HIV/AIDS Assessment of Services in New Mexico
- HIV/AIDS Services Clinical Quality Management Plan 2013
- HIV/AIDS Services SCSN and Statewide Plan FY13-FY15
- HIV/AIDS Services Policies and Procedures
New Mexico AIDS Drug Assistance Program
The mission of the New Mexico AIDS Drug Assistance Program (NM ADAP) is to provide stable and accessible treatment to extend life and improve health for qualified individuals with HIV disease; to promote access to HIV treatment and care; and to provide high quality service in pursuit of those goals. It is a federal and state funded program that exists to ensure that persons living with HIV/AIDS in New Mexico who are otherwise underserved have access to HIV care, treatment, and medications.
The Program currently provides assistance with medical insurance premiums and co-payments, provision of HIV related medications, and transitional medication access for clients applying for insurance coverage. The NM ADAP has a medical advisory body of infectious disease and other HIV specialty physicians and program staff that meet at least annually to review the NM ADAP formulary and make recommendations for improvements in the medical aspects of the program.
Please review the materials below for more details.
- ADAP Cover Memo to Providers
- ADAP Guidelines
- Attachment A: ADAP Medication Formulary
- Attachment B: ADAP Medication Pre-Approval Request Form (for physician/clinic use only)
- Attachment C: ADAP Federal Poverty Guidelines
- Attachment D: ADAP Insurance Assistance Program Application Form
- Attachment E: ADAP Insurance Assistance Program Recertification Form
- Attachment F: ADAP Recertification Form
- Attachment G: ADAP Insurance Assistance Program Client Enrollment Letter
- Attachment H: ADAP Insurance Assistance Program Client Enrollment Letter Program Explanation (insert 2 pages)
- Attachment I: ADAP Summary of Patient Assistance Programs
In order to comply with Ryan White requirements, all clients enrolled in the NMDOH HIV Services Program with enrollment dates beginning April 1, 2011 must be recertified six months from program enrollment/re-enrollment anniversary date.
Example A: Patient enrolled March 1, 2011 – next enrollment by Feb. 28, 2012
Example B: Patient enrolled April 3, 2011 – next recertification by Oct. 2, 2011
Please comply with the following procedures:
- Case Managers complete and submit an HIV/AIDS Access Recertification Form to the NMDOH liaison within 6 months from the date of enrollment/re-enrollment If it is received by the Program within the 6 month period and approved, there is no gap in coverage.
- Include all required documentation with the form such as current income documentation. (or if applicable, the ADAP Insurance Assistance Program Recertification Form)
- The provider liaison approves or rejects the form and returns a copy to the provider with signature and approval dates. (if denied, the documentation will be returned to the case manager)
- If the client is enrolled in the Insurance Assistance Program, the 6-month recertification form is a dual form and serves as the 6-month NMDOH Access Recertification (no change from current procedure)
To find a HIV care, support or medical provider near you, visit our HIV/STD/Hepatitis Resource Guide.
This valuable community based website offering resources and information about services related to HIV, STDs, Viral Hepatitis, and Harm Reduction.
It features a searchable guide that will help you find the best and most appropriate services in your area.