2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 2: Important phone numbers and resources 51 AIDS Drug Assistance Program (ADAP) – Contact Information Maryland | Maryland AIDS Drug Assistance Program 1-410-767-6536 Client Services, 1223 W. Pratt ST Baltimore, MD 21223 8:30 a.m.-4:30 p.m. local https://health.maryland.gov/phpa/OIDPCS/Pages/MADAP.aspx time, Monday-Friday Maine | Maine AIDS Drug Assistance Program 1-207-287-3747 11 State House Station, 286 Water ST Augusta, ME 04330 8 a.m.-5 p.m. local time, http://www.maine.gov/dhhs/mecdc/infectious-disease/hiv-std/ Monday-Friday services/aids-drug-assist.shtml Michigan | Michigan Drug Assistance Program 1-888-826-6565 MI Dept of Health and Human Services P.O. Box 30727 Lansing, 8 a.m.-5 p.m. local time, MI 48909 Monday-Friday https://www.michigan.gov/mdhhs/ 0,5885,7-339-71550_2955_2982_70541-456735--,00.html Minnesota | Minnesota HIV Programs 1-800-657-3761 Department of Human Services, P.O. Box 64972 St. Paul, MN 9 a.m. - 5 p.m. local time, 55164-0972 Monday - Friday http://mn.gov/dhs/people-we-serve/adults/health-care/hiv-aids/ contact-us/index.jsp Missouri | Missouri Bureau of HIV, STD and Hepatitis 1-573-751-6439 Department of Health and Senior Services, P.O. Box 570 Jefferson 8 a.m.-5 p.m. local time, City, MO 65102-0570 Monday-Friday https://health.mo.gov/living/healthcondiseases/communicable/ hivaids/casemgmt.php Mississippi | Mississippi Department of Health, STD/HIV Office 1-601-576-7723 570 E Woodrow Wilson DR, P.O. Box 1700 Jackson, MS 8 a.m.-5 p.m. local time, 39215-1700 Monday-Friday http://msdh.ms.gov/msdhsite/_static/14,0,150.html Montana | Montana AIDS Drug Assistance Program (ADAP) 1-406-444-3565 DPHHS, Cogswell BLDG C-211, 1400 Broadway ST Helena, MT 8 a.m.-5 p.m. local time, 59620-2951 Monday-Friday https://dphhs.mt.gov/publichealth/hivstd/Treatment/ mtryanwhiteprog

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