HIV, STD, and Viral Hepatitis

Ryan White Part B

The Ryan White Part B Program provides help for low-income people living with HIV/AIDS in Maine. Services include the AIDS Drug Assistance Program (ADAP); limited help with dental care, housing, and food; and medical case management for people who are ineligible for other case management programs.

• ADAP
• Dental Help
• Housing Help
• Food Help
• Case Management

ADAP (AIDS Drug Assistance Program)

ADAP is for people with HIV/AIDS who live in Maine and make less than 500% of the federal poverty level

What kind of help is available?

ADAP helps people get the prescription drugs that treat HIV, HIV-related conditions, and prevent infections.

• These meds are covered by ADAP: ADAP Quarterly Formulary Report (PDF)

ADAP pays what’s left for your covered meds after your insurance pays. If you can’t get insurance, ADAP pays for any of your meds that are on the covered list.

ADAP helps pay for insurance. ADAP helps with some labs if your insurance doesn’t cover them.

How do I get ADAP?

Fill out the application and release below or have your case manager help you with it.

• Ryan White Part B Application (PDF)
• Application Attachment: DHHS Release - ADAP (PDF)
• Application Attachment for clients with no income: Statement of No Income (PDF)

• MaineCare Premium Assistance Application (PDF)
• Community Health Options Premium Assistance application (PDF)
• PHI for Community Health Options release (PDF)
• Private Insurance Premium Assistance Application (PDF)
• Lab Assistance Application (PDF)
• Co-pay Reimbursement Application (PDF)
• DHHS Release - Financial Assistance (PDF)
• Medicare Part D Premium-Assistance Application (PDF)

Send your complete application and attachments to:
ADAP
40 State House Station
Augusta, ME 04330-9758
Fax: (207) 287-3498

Dental Help

Dental help is for low-income people with HIV/AIDS who live in central or southern Maine* and have no other way to pay for dental care.

What kind of help is available?

The Ryan White Part B Program can help pay for dental insurance.

• Dental Insurance Application (PDF)
• Application Attachment: DHHS Release - Financial Assistance (PDF)

If you don’t have dental insurance, the Ryan White Part B Program can pay a dentist for some basic services (like cleanings, exams, X-rays, fillings, etc.)

• Dental Assistance Application (PDF)
• Dental Assistance Application UNE (PDF) - University of New England Dental School in Portland
• Application Attachment: DHHS Release - Financial Assistance (PDF)

* People with HIV who live in northern Maine should contact their case manager or call Erin Appleby at the Regional Medical Center at Lubec (207-733-1090 x 2226) for dental help.

Housing Help

Housing help is available for low-income people with HIV/AIDS who live in Maine and have no other way to pay for rent or utilities.

What kind of help is available?

The Ryan White Part B Program can help pay rent, heat, or electricity.

The Ryan White Part B Program can't help pay mortgages or security deposits.

• Housing Assistance Application (PDF)
• Application Attachment: DHHS Release - Financial Assistance (PDF)
• Application Attachment: IRS form W-9 for landlords (PDF)

Food Help

Food cards are available for low-income people with HIV/AIDS who live in Maine and have no other way to pay for food.

What kind of help is available?

Grocery store cards that can only be used for food (no alcohol or tobacco products) may be available up to once per month for people who are eligible.

Get healthy eating info at ChooseMyPlate.gov

• Food Assistance Application (PDF)

Case Management

Case managers help people living with HIV find a place to get what they need. Case managers can be there for as long as they are needed. Case management is free for clients. Income limits may apply.

Please contact the agency nearest you to learn about case management services and other services for people living with HIV/AIDS.

Southern Region

Name	Address	Phone #
Frannie Peabody Center Website: https://www.peabodycenter.org/	30 Danforth St. Suite 311, Portland, ME 04101	(207)774-6877

Central Region

Name	Address	Phone #
St. Mary's Regional Medical Center Website: https://www.stmarysmaine.com/	Campus Avenue Lewiston, ME 04243	(207)777-8507
The Horizon Program (MGHA) Website: https://www.mainegeneral.org/Pages/Care-and-Services-A-Z/HIV-Services/Horizon-Program.aspx	9 Green St. Augusta, ME 04330	(207)621-3785

Northern Region

Name	Address	Phone #
Community Health and Counseling Services Website: https://www.chcs-me.org/	413 West Main St., Fort Kent, ME 04743	(207) 834-4410 or (207)877-219-1936
Community Health and Counseling Services Website: https://www.chcs-me.org/	2 Water St Houlton ME 04730	(207) 532-5510 or 1- 800-580-5510
Community Health and Counseling Services Website: https://www.chcs-me.org/	137 Bennett Drive Caribou ME 04736	(207) 496-3166 or 1- 800-809-2737
Downeast AIDS Network/Health Equity Alliance Website: https://www.mainehealthequity.org/	25 Pine St. Suite A Ellsworth, ME 04605	(207) 667-3506
Downeast AIDS Network/ Health Equity Alliance Website: https://www.mainehealthequity.org/	7 VIP Rd. Machias, ME 04654	(207) 255-5849
Downeast AIDS Network/ Health Equity Alliance Website: https://www.mainehealthequity.org/	106 Pine St. Bangor, ME 04402	(207) 990-3626