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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. The Program is run by the Maine Center for Disease Control and Prevention and is made up of 3 parts:
- The AIDS Drugs Assistance Program (ADAP). ADAP is available to households that earn less than 500% of the federal poverty limit and helps people living with HIV pay for their prescription medications, medical insurance, and some blood work.
- Case Management is available to households that earn less than 500% of the federal poverty limit.
- Financial assistance for dental care, housing, and food. Help is available for households earning less than 350% of the federal poverty limit.
When you work with us, your personal information completely confidential. You do not need to be a US citizen to get help from our program.
Do I qualify for the Ryan White Part B Program?
If you are a resident of Maine, HIV positive, and your family income is less than 500% of the federal poverty limit, then you qualify for our program. The chart below can help you figure out if your household income will allow you to access your services.
What is family income? Family income is the total income of all family members who live together or financially support each other. Partnerships in a household that do not have a legally defined relationship (like unmarried romantic partners, roommates, or adult children who are not under a guardianship) are not considered in determining the household.
How to read this chart: If you have 2 people in your house and together you make less than $71,540 every year, you qualify for all our services. If together you make more than $71,540 but less than $102,200, then you would only qualify for ADAP.
Family Size | RWB Assistance | ADAP |
---|---|---|
350% | 500% | |
1 | $52,710 | $75,300 |
2 | $71,540 | $102,200 |
3 | $90,370 | $129,100 |
4 | $109,200 | $156,000 |
5 | $128,030 | $182,900 |
6 | $146,860 | $209,800 |
7 | $165,690 | $236,700 |
8 | $184,520 | $263,600 |
How do I get help from the Ryan White Part B Program?
To become a client of our program, please fill out the documents below or have your Case Manager help you with them. Then, email your completed documents to RyanWhitePartB@maine.gov, fax them to (207) 287-3498, or mail them to: ADAP, 40 State House Station, Augusta, ME 04330-9758. If you need help, please call us at (207) 287-3747.
- Form A: Ryan White Part B Application (PDF - English)
- Application attachment: Form C: DHHS Release - ADAP (PDF - English)
- Application attachment for clients with no income: Form D: Statement of No Income (PDF - English)
- Form E: Application attachment for clients who need their documents translated into French, Portuguese, or Kinyarwanda.
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. ADAP helps people get the prescription drugs that treat HIV, HIV-related conditions, and prevent infections.
What kind of help is available?
ADAP can pay for your medical insurance, medication co-pays, and some blood work. These medications are covered by ADAP: ADAP Quarterly Formulary Report (PDF).
How do I get help?
You can get help by filling out the appropriate form(s) from the list below.
- Form F: MaineCare Premium Assistance Application (PDF - English)
- Form G: Private Individual Insurance Premium Assistance Application (PDF - English)
- Form H: Private Employer Premium Assistance Application (PDF - English)
- Form I: Lab Assistance Application (PDF - English)
- Form J: Copay Reimbursement Application (PDF - English)
- Form K: DHHS Release - Financial Assistance (PDF - English)
- Form S: Medicare Part D Premium-Assistance Application (PDF - English)
- Form L - DHHS Release Emergency Contact Assistance (PDF - English)
Dental Help
Dental help is for low-income people with HIV/AIDS who live in 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 and some dental work, including things like dentures, cleanings, exams, x-rays, fillings.
How do I get help?
You can get help by filling out the appropriate forms from the list below.
- Form M: Dental Insurance Application (PDF - English)
- Form N: Dental Assistance Application (PDF - English)
- Form K: DHHS Release - Financial Assistance (PDF - English)
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. This includes housing assistance for children who are living with HIV whose name is not on the bill or lease.
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 cannot pay for security deposits or your mortgage.
How do I get help?
You can get help by filling out the forms below.
- Form O: Housing Assistance Application (PDF - English)
- Form P: Emergency Heat Financial Assistance Application (PDF - English)
- Form K: DHHS Release - Financial Assistance (PDF - English)
- If you are applying for rental assistance, we also need this form: 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?
You can apply for monthly grocery store gift cards. Cards only be used for items in the store that are not alcohol or tobacco products. Get information on healthy eating at ChooseMyPlate.gov.
How do I get help?
You can get help by filling out the forms below.
Case Management
The Ryan White Part B Program funds case management for people who are ineligible for other case management programs. Case management is free for Ryan White Part B clients.
What kind of help is available?
Case Managers can you help you:
- Access transportation, and housing
- Understand HIV/AIDS and other diseases
- Find medical, dental, and mental health care
- Pay for medication
- Access financial assistance
- Find a client support group to attend
- Find support for those use injection drugs
- Navigate MaineCare, Medicare, insurance, and other social support programs
- Sign up for the State of Maine Ryan White Part B Program, including the AIDS Drug Assistance Program (ADAP)
- Connect with legal services for issues including immigration, abuse, and housing rights
How do I get help?
Please contact the Case Management agency that services the county in which you live.
Agency | Service Area | Contact Information |
---|---|---|
Frannie Peabody Center | Cumberland, York |
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MaineGeneral Horizon Program Affiliated with 9 Green Street, a syringe service exchange program with safer injection supplies | Androscoggin, Franklin, Kennebec, Knox, Lincoln, Oxford, Sagadahoc, Somerset, Waldo |
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Health Equity Alliance Affiliated with a syringe service exchange program with safer injection supplies | Washington, Hancock, Penobscot, Piscataquis, Somerset, Aroostook |
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