10.18.07.02

.02 Eligibility.

A. To be eligible for MADAP-Plus coverage, an individual shall be:

(1) Enrolled in MADAP; and

(2) Receiving or eligible to receive health insurance and prescription drug coverage.

B. An individual who is eligible for employer-sponsored health insurance with a prescription drug formulary that includes antiretroviral medications may not receive premium assistance unless the individual is:

(1) Enrolled in the employer-sponsored health plan; and

(2) Paying 50 percent or more of the total monthly health insurance premiums.