OAR 333-022-1120
CareAssist: Restricted Status

(1)

The Authority may place a client on restriction if the client fails to return a complete Client Eligibility Review (CER) by the requested deadline.

(2)

The effective date and duration of the restriction shall be as follows:

(a)

Restriction takes effect on the first day of the client’s new eligibility period.

(b)

The restricted period shall not exceed three consecutive months. If the Authority has not received a complete CER at the end of three months, the client is no longer eligible for benefits and the client will be notified in accordance with OAR 333-022-1090 (CareAssist: Client Eligibility Review).

(3)

Ending restriction:

(a)

Six full months of unrestricted benefits shall be approved if the Authority receives a complete CER before the end of the restricted period and determines the client eligible.

(b)

The effective date for full benefits shall be the date of receipt of the complete CER.

(4)

The Authority shall notify a client of the restricted status. The notice must comply with ORS 183.415 (Notice of right to hearing) and explain:

(a)

How long the restriction is in effect;

(b)

How the client can come into compliance and have the restriction lifted; and

(c)

The consequences of not coming into compliance within the specified time period.

(5)

If a client is placed on restricted status the Authority may only provide the following benefits to the client:

(a)

Payment of insurance premiums; and

(b)

Payment of medications that treat HIV, viral hepatitis and opportunistic infections, as those are described in the CAREAssist restricted formulary, available on the CAREAssist website.

(6)

Restricted clients are ineligible for assistance with the cost of:

(a)

Prescriptions not listed on the Restricted Formulary; and

(b)

All medical services, even when that service continues to be paid by the client’s primary insurance.

(7)

Restricted clients are required to recertify, as indicated in OAR 333-022-1090 (CareAssist: Client Eligibility Review).

Source: Rule 333-022-1120 — CareAssist: Restricted Status, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-022-1120.

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 333-022-1120’s source at or​.us