Bridge Application (Word Document)

Individuals who are not yet members of CAREAssist and need emergency coverage for prescription medications may be eligible for up to a 90 day supply, which includes medical visits and lab work necessary to determine appropriate treatment regimines. This form must be completed by your physician.

CAREAssist Application and Instructions  (.pdf)

Instructions for completing a CAREAssist Application.  IMPORTANT.  PLEASE READ.

Once you have downloaded the application, please take a minute to review the instructions. Most of the questions are easy to understand, but some may need an explanation. You may also have to gather information from your personal records.

If you need assistance with any part of the application, please call 971-673-0144 (from Portland) or 1-800-805-2313 (from outside Portland).

CAREAssist Eligibility Review Instructions and Form

Cost Share Adjustment (Word Document)

Federal Poverty Guidelines

CAREAssist is for HIV-positive Oregonians with gross monthly income at or below 200% of the Federal Poverty Limit (FPL). The new Federal Poverty Guidelines have been released and are effective as of March 2007.