# 25 Tex. Admin. Code § 98.104: 25 TAC § 98.104. Specific Program Eligibility Criteria, DIVISION 1. GENERAL PROVISIONS

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T25_P1_C98_S98_104

## Section

- **Citation:** 25 Tex. Admin. Code § 98.104
- **Heading:** 25 TAC § 98.104. Specific Program Eligibility Criteria, DIVISION 1. GENERAL PROVISIONS
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 25 HEALTH SERVICES / Part 1 DEPARTMENT OF STATE HEALTH SERVICES / Chapter 98 TEXAS HIV MEDICATION PROGRAM / 25 TAC § 98.104

## Text

(a) AIDS Drug Assistance Program (ADAP). In addition
 to §98.103 of this title (relating to THMP Eligibility Criteria),
 an individual must attest that the individual is not enrolled in any
 state, federal, or private health insurance policies or benefits programs
 that cover the individual's currently prescribed medications that
 are on the THMP formulary.
(b) SPAP. In addition to §98.103 of this title,
 an individual must be enrolled in a Medicare prescription drug plan
 that covers the individual's current medications that are on the formulary
 and apply for low-income subsidy (LIS) assistance. Those approved
 with full-LIS are disenrolled from the SPAP program, while those with
 partial-LIS and who are denied LIS remain eligible for participation
 in SPAP. (Information on Medicare eligibility, Medicare prescription
 drug plans and LIS assistance can be found at http://www.medicare.gov.)
(c) TIAP. In addition to §98.103 of this title,
 an individual must be enrolled in an eligible health insurance policy
 that covers the individual's current medications on the formulary,
 as updated. An applicant may be screened for TIAP during open enrollment
 or when the applicant has experienced a qualifying event.

## Nearby sections

- [25 Tex. Admin. Code § 98.101 25 TAC § 98.101. Purpose, DIVISION 1. GENERAL PROVISIONS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T25_P1_C98_S98_101.md)
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- [25 Tex. Admin. Code § 98.121 25 TAC § 98.121. Texas HIV Medication Advisory Committee, DIVISION 2. ADVISORY COMMITTEE](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T25_P1_C98_S98_121.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T25_P1_C98_S98_104. Check the current official text before relying on it. Not legal advice.