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ADAP Management Memos - Prior Years

Management Memoranda 2015

Number   Subject

Management Memo 2015-23 provides enrollment workers with updated tools from OA and Covered California for transitioning clients from ADAP to comprehensive health coverage.

Management Memo 2015-22 provides information regarding the addition of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (Genvoya®) to the ADAP formulary

(OA HIPP SPECIFIC MEMO): Management Memo 2015-21 informs ADAP Enrollment Workers that OA-HIPP clients who were co-enrolled in Blue Shield of California and Covered California in 2014 were issued refunds because Blue Shield of California did not allocate the expected amount of premiums towards all members’ health care services.  Because OA-HIPP is the payer of last resort and paid for the clients health insurance premiums the letter is instructing clients to return the full or partial refund amount to OA-HIPP

(OA HIPP SPECIFIC MEMO): This memo informs ADAP Enrollment Workers of the upcoming Covered California open enrollment period,  Covered California new enrollment and renewal requirements, and OA-HIPP documentation requirements. For your reference, attached to the memo are two client letters. The first letter was mailed to all ADAP-Only (uninsured) clients. The second letter was mailed to all OA-HIPP clients who are enrolled in a Covered California health insurance plan.

The Management Memo 2015-18 provides information regarding the addition of Elvitegravir (Vitekta™) to the ADAP formulary.

Management Memo 2015-17 provides notice that a letter has been mailed to each ADAP client regarding ADAP’s recent income eligibility criteria change. A copy of the client letter is attached to the memo. Also, the memo announces that the Insurance Assistance Consent Form has been updated.

Management Memo 2015-16 provides guidance on OA-HIPP application packet requirements for new and existing OA-HIPP clients. The fax cover sheet has also been updated to include a checklist of requirements for enrollment and recertification.

Management Memo 2015-15 provides Enrollment Workers with guidance regarding the revised Viral Load and CD4 test date requirements when enrolling or re-enrolling client into ADAP.

Management Memo 2015-14 announces the new income eligibility criteria for ADAP as a result of the revisions made to the California Health And Safety Code effective June 24, 2015. Income eligibility criteria for ADAP has changed to individuals with a Modified Adjusted Gross Income (MAGI) that does not exceed 500 percent of the federal poverty level per year based on family size and household income.

Management Memo 2015-13 is being sent out to notify all ADAP EWs that two vaccines (pneumococcal conjugate vaccine and meningococcal vaccine) have been added to the ADAP formulary. The memo is also to notify EWs that two obsolete antiretroviral drugs have been removed from the formulary.

Management Memo 2015-12 announces the changes for accessing Hepatitis C treatment through ADAP.

(OA HIPP SPECIFIC MEMO): Management memorandum 2015-11 is intended to provide information to all ADAP Enrollment Workers regarding the OA-HIPP Tool. The purpose of the OA-HIPP Tool is to provide guidance regarding OA-HIPP eligibility, enrollment, re-enrollment, and recertification. Eligibility Workers may use the OA-HIPP Tool as a checklist and guide as they enroll clients into OA-HIPP. The objective of the OA-HIPP Tool is to provide guidance in the process of screening prospective OA-HIPP clients for eligibility and maintaining current required documents in clients files for annual re-enrollment and recertification.

This memo is being sent to you to provide information regarding the addition of two new Hepatitis C drugs to the ADAP Formulary [ledipasvir/sofosbuvir (Harvoni®) and ombitasvir, paritaprevir, and ritonavir tablets; dasabuvir tablets (Viekira Pak™ )].

Management Memo 2015-09 outlines the scope of disclosure of ADAP client information for EWs at an ADAP Enrollment Site that is a Health Care Provider, Public Health Department, and/or a Community Based Organization. Attached to the memo are Confidentiality Tables and corresponding Flowcharts.

This memo is being sent to inform all Local ADAP Coordinators and ADAP Enrollment Workers that the new qualifying poverty levels for Medi-Cal Expansion (MCE) will be effective April 17, 2015.

Additional instructions on filing tax returns with a 1095A. Included is also the letter sent out to clients regarding APTC reconciliation.

Effective April 17, 2015, ADAP grace period for MCE eligibility determination will be reinstated to its original timeframe of 45 days.

Details the extended open enrollment period for Covered California, tax penalties for individuals who choose not to obtain health insurance and provides clarification regarding amended 1095As from Covered CA. Also includes a link to the 2015 ADAP-Covered California Formulary Comparison Chart which identifies antiretroviral and hepatitis C drugs on ADAP’s formulary with those on Covered California health plan formularies.  

Effective February 27, 2015, atazanavir 300 mg/cobicistat 150 mg (Evotaz™) tablets and darunavir 800 mg/cobicistat 150 mg (Prezcobix™) tablets have been added to the ADAP formulary.

(OA HIPP SPECIFIC MEMO): ARIES (AIDS Regional Information and Evaluation System) Consent Form is no longer required.

(OA HIPP SPECIFIC MEMO): OA HIPP eligibility requirements for individuals who are eligible for employer based health insurance. Also references an updated OA HIPP client responsibilities document (summarizing OA-HIPP re-enrollment and recertification requirements and answers to frequently asked questions).

(OA HIPP SPECIFIC MEMO): Details the application deadlines for new HIPP clients with Covered California plans and how existing Covered California clients should file their 2014 federal taxes.




Management Memoranda 2014

Number   Subject

Client enrolled in a Covered California Health Plan

October  15 - December 7, 2014

                        2)Mandatory Enrollment Worker Webinar Training Dates  (PDF)Open a new window browser.


Management Memoranda 2013

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Management Memoranda 2012

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Attachments: 2011 California Tax Table (PDF)Opens in a new browser window.; Financial Screening and Co-Payment Determination Form (PDF)Opens in a new browser window. 

Management Memoranda 2011

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Management Memoranda 2010

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ADAP Management Memos (Current Year)


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Last modified on: 3/17/2016 3:30 PM