Eligibilty Requirements

CA ADAP
Required Documents

  • Proof of California Residence (i.e. rental agreement or utility bill in your name, identifying place of residence)
  • Picture identification (California Driver's License, California Identification card, Passport, School I.D., etc.)
  • Proof of Income (copies of either your most recent Federal or State Income Tax returns)
    • If you are not required to file a tax return, you must supply 3 consecutive months worth of current income documents
    • Public Assistance or Social Security Award Letters
  • Proof of Medi-Cal application (if applicable) and/or documentation of any current health insurance coverage (if applicable)
  • Letter of HIV diagnosis from your physician/prescriber
  • Lab values (CD4 and viral load counts) must be dated within 6 months