Iowa Admin. Code r. 641-11.43
Current through Regsiter Vol. 46, No. 26, June 12, 2024
Rule 641-11.43 - Eligibility requirements(1) An applicant is eligible to participate in the ADAP medication assistance program if the applicant: a. Applies for enrollment in ADAP on a form provided by the department;b. Has no health insurance to cover the cost of the drugs that are or may become available from ADAP, or has insurance that is determined by the department to be incompatible with or cost-ineffective for the ADAP insurance assistance program;c. Is currently being prescribed a drug on the ADAP formulary;d. Has an annual income that is less than or equal to 500 percent of the poverty level as determined by the most recent federal poverty guidelines published annually by the U.S. Department of Health and Human Services for the size of the household;e. Has a medical diagnosis of HIV infection or AIDS or is an unborn infant or an infant under 18 months of age who has an HIV-infected mother; andf. Is a resident of Iowa.(2) An applicant is eligible to participate in the ADAP health insurance assistance program if the applicant: a. Applies for enrollment in ADAP on a form provided by the department;b. Has creditable health insurance coverage or meets the enrollment qualifications for an ADAP-sponsored health plan;c. Is currently being prescribed a drug on the ADAP formulary;d. Has an annual income that is less than or equal to 500 percent of the poverty level as determined by the most recent federal poverty guidelines published annually by the U.S. Department of Health and Human Services for the size of the household;e. Has a medical diagnosis of HIV infection or AIDS or is an unborn infant or an infant under 18 months of age who has an HIV-infected mother; andf. Is a resident of Iowa.Iowa Admin. Code r. 641-11.43
ARC 1215C, IAB 12/11/2013, effective 1/15/2014Amended by IAB February 1, 2017/Volume XXXIX, Number 16, effective 3/8/2017Amended by IAB August 10, 2022/Volume XLV, Number 3, effective 9/14/2022