Any medication assistance program will require paperwork. PAPs usually have slightly more complicated documentation requirements than the State ADAP. All agencies receiving Ryan White funding to provide care or medications must ensure that Ryan White monies are used as payor of last resort. It is required that they refer patients to and assist patients in applying for PAP. Ensuring Ryan White funds are used as payor of last resort ensures the program is there for patients when they really need it. Additionally, if there are medications that the patient needs that are not covered by the PAP, ADAP might be able to assist. DSHS, several Administrative Agencies and some services providers have been using PAPs to ensure Ryan White is used as payor of last resort.