MDCH - Michigan HIV/AIDS Drug Assistance Program (MIDAP)

Michigan HIV/AIDS Drug Assistance Program (MIDAP)

IMPORTANT MESSAGE TO ALL CURRENTLY ELIGIBLE MIDAP MEMBERS: Annual Renewal Update as of 3/21/2013 - Your eligibility has been extended/updated through May 15, 2013. Your coverage will not expire on March 31. You will be receiving information in the mail in the the next two weeks containing instructions for completing the Annual Renewal Process.

Please note that the Michigan Department of Human Services (DHS) is conducting an OPEN ENROLLMENT for the Adult Medical Program from April 1 - April 30, 2013. If MIDAP is your only coverage for prescriptions, you will be required to apply for medical coverage (Medicaid/Adult Medical Program) through DHS between April 1st and April 30th to continue to receive assistance from MIDAP. Please apply for medical coverage through DHS by visiting your local county DHS location or apply online at: https://www.mibridges.michigan.gov/access/
After you have applied for medical coverage (Medicaid/Adult Medical Program) through the DHS, you may submit your application for MIDAP (located below). Please follow the instructions. Incomplete applications will not be accepted and will result in a lapse in coverage until all requirements are met. If you have any questions please contact the MIDAP office 1-888-826-6565.

WHAT IS IT?

The Michigan Drug Assistance Program (MIDAP) helps cover prescription drug costs for certain FDA-approved drugs for HIV/AIDS patients who qualify for the program.

WHAT IS COVERED?

The Michigan Drug Assistance Program program currently covers HIV-specific and related medicines, as well as vaccines. Click here to access the complete eligible drug list and the MIDAP Pharmacy Network List where I can find pharmacies I can go to in order to fill my prescriptions.

CAN ANYONE QUALIFY?

No. To be eligible for the Michigan Drug Assistance program:

Applicant must provide documentation of HIV disease.
Applicant must be a resident of the State of Michigan.
In some cases, applicant must have applied for public assistance (Medicaid and/or Adult Benefits Waiver program) with the Department of Human Services (DHS) within the past 90 days and have a pending, denial, or spend-down status. Clients being renewed by April 1, 2012, must have applied with DHS after October 1, 2011.
Applicant's gross income cannot exceed 450% of the Federal Poverty Level (F.P.L.) and will be evaluated based on FPL guidelines in effect when MIDAP receives your completed application.

HOW DO I OBTAIN SERVICES?

Case management and client advocacy agencies, or the MIDAP staff, can assist applicants in completing the MIDAP application. Completed applications will be reviewed and accepted or denied. If approved by the MIDAP, the client will receive a prescription card with a personal identification number.

TO ACCESS FORMS AND INSTRUCTIONS:

Adobe Acrobat Reader is needed to view PDF files. This free program is available on the Adobe web site. Instructions on the Adobe web site for downloading will enable you to get your copy of Adobe Acrobat Reader.
Please click on this link to go to the Adobe web site:

Click here to access the MIDAP application.

Click here to access the MIDAP application instructions.

Click here to access the Medicaid and/or AMP Status Verification Notice form.

Click here to access the Department of Human Services (DHS) application for assistance (DHS-1171), an information booklet and filing form.

RESOURCES FOR CASE MANAGERS:

Click here to access the Interim Medication Form Application.

FOR MORE INFORMATION CONTACT:

HIV Case Management Agencies, Local Health Departments, or call the MIDAP toll-free at 1-888-826-6565.

MIDAP Coordinator:
Chris Hanson

Michigan Department of Community Health, Division of Health, Wellness and Disease Control, HIV/AIDS Prevention and Intervention Section
109 Michigan Avenue, 9th Floor
Lansing, MI 48913
1-888-826-6565