ELIGIBILITY INFORMATION FOR
HIV/AIDS PATIENT CARE PROGRAMS
What are the eligibility requirements?
• You have to be HIV positive.
• You must be living in Florida.
• You cannot be receiving the same services from Medicaid, Project AIDS Care or Insurance.
• You have to be low-income – at or below 400 percent of the Federal Poverty Level (FPL).
What services are covered?
• Doctor visits
• Health Insurance Premiums
• Case Management
• Other Support Services
If I am determined eligible, can I receive all these services?
Not necessarily. The services have to be available and funded. In addition, there are program qualifications to participate in the following single service
• AIDS Drug Assistance Program (ADAP)
• ADAP Premium Plus (Insurance Services)
• State Housing Opportunities for Persons With AIDS (HOPWA)
What documentation is required?
There are several documents you must provide.
Proof of HIV Status - Original or copy of an HIV laboratory test that shows your HIV status. Do not
bring a doctor’s statement.
Proof of living in Florida. Bring photo ID, if possible.
Part 3: Bring all documents that show you have
insurance, are receiving services from other programs, or have been denied, such as:
• Medicaid Card
• Medicare Card
• Project AIDS Care (PAC) Eligibility Notice
• Insurance Policy
• Public Assistance Program Award or Denial Letters
• Veterans Administration
Bring all that apply to show your income:
• Current Pay Stubs
• Military and Earnings Statement
• Rental and Other Income
• 1040 Form if Self Employed
• Public Assistance Award or Denial Letters
What if I don’t have all the documentation?
It’s okay. Include what you have or call the local office for help. Remember, having the correct information at the time of the application will quicken your eligibility determination.
What happens after I send or take in the application?
When your application and the documentation is received, you will have an eligibility interview scheduled with eligibility staff to review the application. You may be asked to submit
When will I start receiving services?
Eligibility staff will give you an eligibility confirmation letter after your application is processed and approved. You will be asked to choose a case management agency to help you determine your needs and/or you may be referred to one of the single service programs for drugs, housing or insurance
assistance depending on your situation.
What if I am not eligible and I don’t like the decision?
You will receive a written letter explaining why you are not eligible, and you will be provided information about your right to ask for a fair hearing.
How to apply?
You will need to call your local consortia for contact information.