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<img src="https://risepartnership.jotform.com/uploads/jean.sung/form_files/HCA%20coral%20icon.66297dc3a2ed16.49949632.png" width="90px" height="90px" /><br /> Healthcare Cost Assistance Eligibility Questionnaire

This questionnaire asks about the number of eligible working hours you need to qualify for Carewell Healthcare Cost Assistance (HCA) benefits. Eligible working hours — also known as bargaining unit hours — are the work hours paid by Acumen, the State, and/or PPL on behalf of your consumer employer.

HIPAA

Compliance

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  • 1
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  • 2
    You must submit your hours to your State agency (such as APD or ODDS) using Oregon Provider Time Capture and/or eXPRS.
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  • 3
    If you haven't heard of the program, it probably doesn't apply to you.
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  • 4
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  • 5
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  • 6
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