OAR 333-022-1010
CareAssist: Definitions

(1)

“AIDS” means acquired immunodeficiency syndrome.

(2)

“Authority” means the CAREAssist program, administered by the Oregon Health Authority.

(3)

“CAREAssist” includes benefits provided to clients under Bridge, UPP, Group 1 or Group 2 as those terms are used in OAR 333-022-1000 (CareAssist: Purpose and Description of Program) through 333-022-1170 (CareAssist: Hearings).

(4)

“CAREAssist formulary” or “formulary” means a list of medications available to enrolled clients of CAREAssist when the same drug or a therapeutically comparable medication is not available through the client’s primary health insurance.

(5)

“Federal Poverty Level” or “FPL” means the annual poverty income guidelines, published by the United States Department of Health and Human Services.

(6)

“Family” means all individuals counted by the Authority in determining the applicant’s or client’s family size.

(7)

“Monthly income” means the monthly average of any and all monies received on a periodic or predictable basis, which the family relies on to meet personal needs.

(8)

“Gross monthly income” means income before taxes or other withholdings.

(9)

“HIV” means the human immunodeficiency virus, the causative agent of AIDS.

(10)

“OHP” means the Oregon Health Plan.

(11)

“Oregon residency” means that an individual:

(a)

Has a physical location to reside in Oregon; and

(b)

Is in Oregon at least six months out of the year; and

(c)

Is not absent from Oregon more than three consecutive months; or

(d)

Is living out of state for more than three months due to temporary or seasonal employment outside of Oregon; or

(e)

Is living out of state for more than three months while attending an education institution full time.

(12)

“Refuses” means a client or applicant actively declines enrollment in the insurance identified by the Authority.

(13)

“Seasonal worker” means the applicant performs work cyclically during the year and most often the work is defined by seasons and typically defined by the calendar year.

(14)

“Special enrollment period” means a time period outside of open enrollment in which a client is eligible to apply for private insurance because they experienced a qualifying event as defined by the Affordable Care Act.

(15)

“UPP” means the CAREAssist Uninsured Persons Program.

Source: Rule 333-022-1010 — CareAssist: Definitions, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-022-1010.

333–022–0200
HIV Testing and Confidentiality: Definitions 333–022–0205
HIV Testing, Notification, Right to Decline 333–022–0210
Confidentiality 333–022–0300
Occupational and Health Care Setting Exposures: Procedures for Requesting a Source Person Consent to an HIV Test Following an Occupational Exposure 333–022–0305
Occupational and Health Care Setting Exposures: Petition for Mandatory Testing of Source Persons 333–022–0310
Occupational and Health Care Setting Exposures: Substantial Exposure While Being Administered Health Care 333–022–0315
Occupational and Health Care Setting Exposures: Employer Program for Prevention, Education and Testing 333–022–1000
CareAssist: Purpose and Description of Program 333–022–1010
CareAssist: Definitions 333–022–1020
CareAssist: Eligibility 333–022–1030
CareAssist: Application Process 333–022–1040
CareAssist: Review of Applications 333–022–1050
CareAssist: Approval or Denial of Application 333–022–1060
CareAssist: Group 1 and 2 Benefits 333–022–1070
CareAssist: Prescriptions 333–022–1080
CareAssist: Payments and Cost Coverage 333–022–1090
CareAssist: Client Eligibility Review 333–022–1100
CareAssist: Client Reporting Requirements 333–022–1120
CareAssist: Restricted Status 333–022–1130
CareAssist: Incarcerated Applicants or Clients 333–022–1140
CareAssist: Bridge Program 333–022–1145
CareAssist: Uninsured Persons Program 333–022–1147
CareAssist: Dental Benefits 333–022–1150
CareAssist: Client Rights 333–022–1160
CareAssist: Termination from CAREAssist 333–022–1170
CareAssist: Hearings 333–022–2000
HIV Case Management: Purpose 333–022–2010
HIV Case Management: Definitions 333–022–2020
HIV Case Management: Eligibility 333–022–2030
HIV Case Management: Enrollment Process 333–022–2040
HIV Case Management: Approval or Denial of Enrollment 333–022–2050
HIV Case Management: Determination of Service Needs 333–022–2060
HIV Case Management: Client Rights 333–022–2070
HIV Case Management: Client Responsibilities 333–022–2080
HIV Case Management: Supportive Services 333–022–2090
HIV Case Management: Client Enrollment Review 333–022–2100
HIV Case Management: Incarcerated Applicants or Clients 333–022–2110
HIV Case Management: Termination 333–022–2120
HIV Case Management: Hearings 333–022–3000
Oregon Housing Opportunity in Partnership Program
Last Updated

Jun. 8, 2021

Rule 333-022-1010’s source at or​.us