The COVID-19 lockdown in the state of Maharashtra has limited access to antiretroviral therapy (ART) for people living with HIV (PLHIV). In May 2021, I-TECH India established three community ART refill groups (CARGs), owned by the representatives of the PLHIV community, to ensure the ART supply for PLHIV located in distant, adjoining districts of Mumbai. Patients who are unstable, seriously ill, or unable to travel for their monthly refills are also receiving ART through CARGs. So far, 49 PLHIV have received their monthly refills from these community-owned models, supporting retention in HIV care.