AIDS Drug Assistance Program Contractors
Magellan Rx Management
Magellan Rx Management provides pharmacy benefits' management services for ADAP. ADAP clients recieve a prescription benefit card from Magellan and have access to a California pharmacy network with over 4,000 pharmacies. To locate a pharmacy please access the pharmacy locator tool on the Magellan website.
The Magellan Call Center is available 24/7 at (800) 424-5906.
Pool Administrators, Incorporated (PAI)
PAI provides insurance and medical benefits management services for ADAP. PAI will remit health insurance premium payments on behalf of clients enrolled in the following Office of AIDS, premium payment programs:
- Health Insurance Premium Payment (OA-HIPP) program, and
- Employer-Based Health Insurance Premium Payment (EB-HIPP) program.
Clients enrolled in either of these programs are also eligible for the Medical Out-of-Pocket benefit. PAI will submit payments for outpatient medical out-of-pocket costs that count toward a client's health insurance policy's annual out of pocket maximum. All OA-HIPP and EB-HIPP eligible clients receive a client ID card to provide to medical providers when they receive services.
Spouses and dependents, who are enrolled in ADAP themselves and listed as a family member on the OA-HIPP or EB-HIPP client's health insurance plan, are also eligible for the medical out-of-pocket benefit. Spouses and/or dependents can enroll in the Spousal-Dependent medical out-of-pocket program by completing and submitting the Family Plan Consent form and the Acknowledgment of Policies and Responsibilities form.
For medical providers who would like to establish a direct payment method for medical out of pocket costs, please contact the PAI Customer Service Representative team Monday through Friday from 8:00 am to 5:00 p.m. at (877) 495-0990.
For clients with questions regarding the Medical Out-of-Pocket benefit, please contact, the PAI Customer Service Representative team Monday through Friday from 8:00 am to 5:00 p.m. at (877) 495-0990.
For program eligibility questions, please contact the ADAP call center at (844) 421-7050. Call center staff are available Monday-Friday, 8AM – 5PM (excluding holidays).