How Does a MAP Work? ● Uninsured patients are screened by MAP caseworker for income eligibility.

INTAKE Intake form – data needed for application Income Eligibility - Checklist of documentation needed –Tax return or sign form 4506T –1 month’s pay stubs –Copies of unemployment benefits, pensions, Social Security and other income Prescriptions –Physician’s signed prescription must be sent to PAP –Physician office may send med list. TPC software generates prescriptions for MD to sign.

Application for Each Medicine ● The patient signs a computer generated application form for each medicine.

Working with the Physician The MAP works closely with physician office regarding ordering and receipt of medicines. The physician signs the application form, and mails application OR The physician signs the form and returns it to the Caseworker to mail.

Shipment of Meds and Dispensing ● Medicines arrive 2-4 weeks later at doctor’s office or clinic; some may be mailed directly to the patient. ● Local pharmacies may receive meds for dispensing to patients.

Bridge Medicines Bridge medicines fill the time lag gap Samples dispensed at clinic or MD office Generic medicines may be prescribed for interim use. Vouchers may be used to pay for medicine until free supply arrives.

The Cycle Continues... ● Patients notify MAP caseworker of receipt of medicines. ● Refill is triggered for 90 days later. ● Yearly renewals required.