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Tuberculosis Drug Assistance Program (TBDAP) : Frequently …

Webtbdap@AccessHealthMA.org | 617-502-1700 x2 . Tuberculosis Drug Assistance Program (TBDAP) : Frequently Asked Questions . How does TBDAP work? • When patients are …

Actived: 9 days ago

URL: http://accesshealthma.org/wp-content/uploads/2022/05/TBDAP-FAQs-Final-Updated-May2022.pdf

Self-Attestation Requirements and Specific Instructions

WebTitle: HDAP Self-Attestation Instructions and Quick Reference Guide Author: test Created Date: 8/1/2019 2:13:49 PM

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The Massachusetts Pre-Exposure Prophylaxis Drug Assistance …

WebInstructions for Completing this Application. Before you begin completing this application, carefully review these instructions. If you need assistance, contact your PrEP Navigator …

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Pre-Exposure Prophylaxis Drug Assistance Program (PrEPDAP)

WebMassachusetts PrEPDAP Application Form Name: _____ PrEPDAP ID #_____ Pg 5 SECTION 4 - PROVIDER INFORMATION This section should be filled out by your …

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The Massachusetts Pre-Exposure Prophylaxis Drug Assistance …

Web2 • Name • Social Security Number (if available) • Date of birth • Health insurance information • Prescription information Any information about you that is shared with a …

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AccessHealth MA HIV Drug Assistance Program (HDAP)

WebAccessHealth MA HIV Drug Assistance Program (HDAP) Houses of Correction (HOC) Program Application Instructions Please submit this application via fax (617-502-1703) or …

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Commonly Prescribed HIV Medications

WebCurrent as of 11/19. CRI produces the medication chart with funding from the Bureau of Infectious Disease, O ce of HIV/AIDS, Massachusetts Department of Public Health. It …

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Massachusetts HIV Non-Occupational Post Exposure …

WebUNIT PRICE. TOTAL PRICE. PLEASE ATTACH A COPY OF THE PRESCRIPTION TO THIS FORM. This reimbursement form will be honored only for HIV antiretroviral …

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(Organization Letterhead)

Web(Organization Letterhead) Dear PrEPDAP Staff: This is in regards to my client: _____DOB_____ In regards to income: (If available documentation does not meet …

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JOB DESCRIPTION DEPARTMENT: PrEPDAP/nPEP SUMMARY …

Web3 • Oversees PrEPDAP/nPEP staff contributions to outreach efforts to health care s ites and community-based organizations, including presentation of information on …

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Provider Portal: Setting up a User Account

WebProvider Portal: Setting up a User Account The HDAP Provider Portal is for case managers and other providers submitting HDAP applications on behalf of their clients.

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AccessHealth MA’s HIV Drug Assistance Program Rapid …

WebAccessHealth MA’s HIV Drug Assistance Program Rapid Eligibility Determination (RED) Form Instructions The HDAP RED form can be used when there is a need for rapid …

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Fax to 617.502.1703 Email to the HDAP team through our

WebAccessHealth MA’s HIV Drug Assistance Program Rapid Eligibility Determination (RED) Form . Instructions . The HDAP RED form should be used in situations where rapid …

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