Hemophilia Assistance Program

The Hemophilia Assistance Program (HAP) helps Texans with hemophilia cover their treatment costs. Assistance is provided with blood factor replacement products or reimbursement for health insurance premium payments. While a HAP client may receive blood factor replacement or health insurance premium assistance in the same year, the client cannot receive both at the same time.

General Information

For more information about HAP, read the Hemophilia Assistance Program Client Handbook (PDF).

To learn about covered benefits, requirements and limitations, download the HAP Allowable Product and Fee List (PDF).

For more information about hemophilia and other bleeding disorders, see HAP educational resources.

Who is Eligible for Services?

HAP is available to anyone who

• Lives in Texas.
• Is 18 or older.
• Has an income at or below 200% of the federal poverty guidelines.
• Has a diagnosis of hemophilia from a licensed physician.
• Is not incarcerated or a ward of the state.
• Is not eligible for Medicaid or the Children’s Health Insurance Program (CHIP).
• Is not currently receiving benefits from the Children with Special Health Care Needs Services Program.

How do I Apply for Services?

To apply, send us:

• Form 3033, Hemophilia Assistance Program Application
• Form 3032, Hemophilia Assistance Program Physical Assessment
• Required documentation:
  • Proof of residency
  • Proof of income
  • Proof of insurance
  • Proof of self-employment (if applicable)

HAP does not require original signatures on the program application. The program accepts applications and supporting materials by fax, mail or email.

Fax Number: 512-206-3982 (for application submission only)

Hemophilia Assistance Program
Eligibility Services
Mail Code 1938
P.O. Box 149030
Austin, Texas 78714-9947

Contact Us

Phone
800-222-3986
8 a.m. to 5 p.m. Central Time
Monday through Friday

Austin Area Phone
512-776-7150

Email Address:
hemophilia@hhs.texas.gov

Mailing Address
Hemophilia Assistance Program
Mail Code 1938
P.O. Box 149030
Austin, TX 78714-9947