OAR 333-022-1140
CareAssist: Bridge Program

(1)

The Bridge Program provides limited benefits to an individual whose medical provider has applied for the program on the patient’s behalf. The program provides payment for basic services and medications for an individual who is in the process of applying for CAREAssist and insurance.

(2)

Bridge Program eligibility. In order to be eligible for the Bridge Program an individual must:

(a)

Be HIV positive or have AIDS;

(b)

Reside in Oregon;

(c)

Have income at or below 500 percent of the FPL;

(d)

Be in the process of applying for long-term medication assistance programs such as Medicaid, Medicare, or applying to CAREAssist; and

(e)

Have not previously received Bridge Program benefits or have not been terminated from the CAREAssist program within the past 365 days.

(3)

To apply for Bridge Program benefits a patient’s medical provider must, on behalf of the patient, submit a form prescribed by the Authority and sign the form attesting that the individual is HIV positive or has AIDS. If the health care provider is licensed outside of Oregon, the Authority may request a copy of the applicant’s most current laboratory results.

(4)

The Authority must notify an applicant whether the patient’s application has been approved or denied, in accordance with ORS 183.415 (Notice of right to hearing).

(5)

An individual enrolled in the Bridge Program is not guaranteed to be determined eligible for CAREAssist benefits.

(6)

The Bridge Program benefits include:

(a)

Assistance with the cost of a 30-day supply of prescription drugs listed on the CAREAssist formulary and designated as available to Bridge Program participants, only if dispensed by a CAREAssist contract in-network pharmacy.

(b)

Payment of the costs of medical services and laboratory tests as defined by the list of approved Current Procedural Terminology (CPT) codes noted on the Bridge Program instructions and application forms.

(7)

The Authority may only pay for an individual’s medical visits or laboratory tests for dates of service that are on or after the individual’s enrollment in the Bridge Program.

(8)

Individuals enrolled in the Bridge Program must actively participate with an assigned CAREAssist caseworker to assure progress toward a sustainable means of medication access. Failure to do so may result in cancellation of enrollment. At a minimum, the client is expected to submit a full application for ongoing assistance with CAREAssist within the 30 days of Bridge Program enrollment.

(9)

The Bridge Program is not available to an individual who has primary health insurance coverage.

Source: Rule 333-022-1140 — CareAssist: Bridge Program, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-022-1140.

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 333-022-1140’s source at or​.us