Need immediate prescription coverage?
The Bridge Medication Program may be able to assist you while you are applying for CAREAssist.
CAREAssist Application and Instructions
The CAREAssist program is designed for HIV positive individuals who need financial help to pay for their HIV medications ongoing. CAREAssist can pay for medications and medical services for those who qualify.
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).
Residency Verification Forms
As of August 1st, 2012, proof of residency must be documented for every CAREAssist client. Clients are required to submit proof at the time of application and every six months when completing the Client Eligibility Review (CER) if their address has changed as of their last CER. Please see the list of acceptable residency documents. Documents must be current and have a residential address that matches the address provided on the CAREAssist application/CER. Options for providing proof of residency are as follows:
- Option 1. One Tier 1 document
- Option 2. Two Tier 2 documents
- Option 3. CAREAssist Residency Verification form (in English) PDF | Word or (Spanish) PDF | Word
The Residency Verification form should be used only when no Tier 1 or 2 documents exist.
CAREAssist Eligibility Review
A Client Eligibilty Review (CER) must be conducted every six months.
Failure to complete and return the CER could delay or end your
eligibility with the CAREAssist program.
Cost Share Adjustment Request
If you are a CAREAssist member and your income changes by 25% or more, you may be eligible to apply for a cost share adjustment. Please complete the form and submit to the CAREAssist Program.
CAREAssist Complaints and Grievances
It is the policy of the CAREAssist program to consistently respond with diligence to concerns voiced by clients about the administration of the CAREAssist program or policy issues regarding the program.
WellPartner Mail Order Enrollment
By using the mail order pharmacy, all of your medications (both HIV
and non-HIV medications) will be conveniently mailed to your home or
other location that you choose. If you use the mail-order pharmacy, you
will still be able to use a local pharmacy to get urgently needed
medication (like a short-term antibiotic).
You can register for the mail order pharmacy by filling out these applications:
- WellPartner Order Form (English)
- WellPartner Order Form (En Español)
Or by calling Wellpartner at 1-888-206-1605. Once you have gotten
your first prescription, you can register for an online account with
Wellpartner. Once you have an online account with WellPartner, you'll be
able to request refills online.
For more information about the Mail-Order Pharmacy, visit www.wellpartner.com.
Medication Therapy Management
In partnership with Ramsell, CAREAssist is pleased to offer Medication Therapy Management (MTM) to eligible clients who are having difficulty adhering to medication regimens. MTM provides phone-based support to patients through direct adherence counseling with an HIV pharmacist. Both medical providers and Ryan White case managers can refer clients of concern to the MTM program.
For medical providers, use the MTM clinical providers referral form
For Ryan White case managers, use the MTM case managers referral form