ADAP Program Updates
Important Information for Ryan White Clients
Updated Mar 2, 2026
On February 25, the Florida Department of Health filed emergency rules that reduce the income eligibility for direct ADAP medications from 400% of the Federal Poverty Level (FPL) to 130% FPL and discontinue the ADAP insurance premium assistance program. Both changes took effect on Sunday, March 1.
Although legal challenges to these emergency rules have been submitted, there is currently no court order preventing the State’s decision from being implemented.
We understand that this situation may feel confusing. Our priority is your continued access to medication, medical care, and support services without interruption.
What This Means for You
- If you are currently receiving care at Care Resource, your services continue as normal.
- Do not make changes to your insurance, provider, or service location without first speaking to your Care Resource team.
- Our Case Managers and providers are available to review your individual situation and help you make the best decision for your health.
If you have questions, please contact:
- Your assigned Case Manager
- Your medical provider
- Or call us at 305.576.1234
Special Enrollment Period (SEP)
If you are a Ryan White patient and your ADAP premium assistance is ending on March 1, 2026, you may qualify for a Special Enrollment Period (SEP) through the Affordable Care Act (ACA). This allows you to select a new health plan.
What You Need to Know:
- You have until April 30, 2026 to choose a new plan.
- You may be able to request coverage starting March 1, 2026 to avoid a gap.
- Care Resource will help you review and compare plan options.
Before making any changes, please contact your Case Manager to confirm your options and discuss other assistance programs you may qualify for.
Frequently Asked Questions (FAQ)
- I received a message saying another organization will pay my ACA premium if I transfer my care. What should I do?
Before making any changes, please speak with your Care Resource Case Manager or provider. We can review your eligibility, coverage, and care plan to ensure you understand your options and any potential impact.
- Will my medications be affected?
At this time, there are no confirmed changes impacting your medication access through our health centers. Care Resource Pharmacy is dispensing 90-day supplies whenever possible to help reduce disruptions, and our team can review your refill options. We will notify patients if any updates occur.
- Do I need to transfer my services to receive premium coverage assistance?
Not necessarily. Each situation is different. Please speak with your Case Manager so we can review your specific eligibility and coverage details.
- Is ADAP ending?
No. ADAP continues to operate. Discussions are ongoing at the county level regarding funding allocations, but no final changes have been implemented.
- Where can I find the most up-to-date information?
This page will be updated as official guidance becomes available. We encourage you to check back regularly or speak directly with your Care Resource team.
Our Commitment to You
Care Resource remains committed to:
- Protecting your access to medications
- Ensuring continuity of care
- Providing clear, timely updates
- Supporting you through any system changes
If you have questions or concerns, please reach out. We are here to support you every step of the way.
