The Pennsylvania Special Pharmaceutical Benefits Program (SPBP)
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The Department of Public Welfare, Office of Medical Assistance Programs administers and operates three HIV/AIDS specific programs.

1) AIDS Waiver Program - a federally approved special program which allows the Commonwealth of Pennsylvania to provide certain home and community-based services not provided under the regular fee-for-service program to persons with symptomatic HIV disease or AIDS.

• AIDS Waiver Program Informational Booklet

• AIDS Waiver Program Fact Sheet (Spanish)

• AIDS Waiver Program Questions and Answers

• AIDS Waiver Program Application

2) Special Pharmaceutical Benefits Program (SPBP) is a program for low and moderate income individuals and families that helps pay for specific drug therapies used for the treatment of persons with HIV/AIDS or a DSM IV diagnosis for schizophrenia. The HIV/AIDS side of the SPBP is usually called AIDS Drug Assistance Program (ADAP) in other states.

• Special Pharmaceutical Benefits Fact Sheet

• Special Pharmaceutical Benefits Questions and Answers

• Special Pharmaceutical Benefits Listing of Drugs Covered

• Special Pharamaceutical Benefits Application Form (PDF)

3) Targeted Case Management Program is a program that provides targeted medical assistance clients with access to comprehensive medical and social services to encourage the cost effective use of medical care and community resources, while ensuring the client's freedom of choice and promoting the well-being of the individual. Individuals who wish to enroll as Targeted Case Managers must complete a Base Provider Enrollment Application, an Outpatient Provider Agreement, and an HIV Provider Case Management Addendum. These enrollment documents can be found at the following link: <http://www.dpw.state.pa.us/omap/promise/enroll/omappromiseenroll.asp>.
Go to Section 21 for Case Management Information and forms.

Targeted Case Management Program Questions and Answers

For more information on these programs, please view the Department of Public Welfare, Office of Medical Assistance Programs' web page.

 

 

 

 

This program was developed to help patients with low incomes receive the medication they need. The information on this page includes a program description, eligibility criteria, benefits information, instructions for completing the enrollment form, and a downloadable version of the application for enrollment.

If you have any questions regarding the SPBP, please call the SPBP staff Monday through Friday (with the exception of state holidays) from 9 AM to 4 PM at 1-800-922-9384 or visit the web site of the Pennsylvania Department of Public Welfare. All information supplied is strictly confidential.