ADAP in Oregon — AIDS Drug Assistance Program eligibility and enrollment

CAREAssist (Oregon's ADAP) serves 3,400 people, with an income eligibility cap at 550% of the federal poverty line. In Oregon that means your gross annual income can be up to $83,880 for a household of one (at 2025 HHS poverty guidelines) and you still qualify. ADAP is the 'payer of last resort' for HIV medications: it covers people with no insurance, fills the gap for people on Medicare Part D, and pays co-pays for people on commercial insurance.

What ADAP covers: all FDA-approved antiretroviral medications on the state formulary (every ADAP covers the WHO-recommended first-line regimens), plus many opportunistic-infection prophylaxis drugs, lab work in states where the ADAP pays for labs directly, and in some states hepatitis B and C treatment. CAREAssist (Oregon's ADAP)'s formulary is published on the state health department website and is updated at least annually.

How to enroll: a case manager at a Ryan White Part B or Part C clinic completes the application with you. You'll need proof of HIV diagnosis (a lab report or physician letter), proof of Oregon residency, proof of income (pay stubs, tax return, benefit letter), and documentation of insurance status. Decisions typically return within two weeks; medications are dispensed through participating pharmacies at no cost once you're enrolled. Recertification is annual.

The state HIV info line is 1-971-673-0153; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Cascade AIDS Project (CAP) and OHSU Partnership HIV Clinic as the local institutions that show up consistently — both are listed below.

Cascade AIDS Project (CAP). Cascade AIDS Project in Portland — rebranded in 2023 as the Our House of Portland — is the Ryan White Part B case-management contractor for western Oregon, operating the state's highest-volume rapid-testing program at the Pivot Prime clinic on North Russell Street.

OHSU Partnership HIV Clinic. The OHSU Partnership HIV Clinic in Portland is Oregon's largest Ryan White Part C grantee, serving about 2,500 people living with HIV; OHSU co-sponsors the Oregon Health Equity Alliance's Black-community-focused HIV prevention and care training program.