HIV Medicaid Qualifications

If you have ever tried to receive benefits from the Social Security Administration or other government programs you may have found the process difficult or confusing. If you know what it takes to qualify for benefits, you can greatly increase the likelihood your application will be accepted. Qualifications have changed a bit over the years, especially in regards to HIV-positive applicants.

Eligibility

Low-income, childless adults are not eligible for Medicaid unless they are disabled. That means they have a physical or mental impairment that prevents them from working for a year or more or that is expected to end in their death.

HIV and Disability

Having HIV does not automatically qualify you as disabled, even if you have little income. You must be able to prove that your infection makes it difficult or impossible for you to keep a job.

Age Concerns

If you are over 65 you qualify for Medicare automatically if you are eligible for Social Security benefits. Medicare is a specialized program related to Medicaid, designed specifically for those over 65.

The Ryan White CARE Act

More and more people with HIV and AIDS depend on the Ryan White CARE Act, which sets money aside each year specifically for HIV patients. Many patients are able to use resources from the CARE Act even though they don't qualify for Medicaid.

ADAP Programs

One aspect of the Ryan White CARE Act, and in fact the lifeline of many HIV-positive people on antiretroviral medication, is the ADAPs, AIDS Drug Assistance Programs. These programs help cover the cost of HIV medications for people who can't afford them and can supplement Medicaid if you qualify.

References

• Medicare Prescription Drug Benefit & Ryan White Grantees
• Medicaid general information