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Oregon Health Authority

Submit a CCO Form A Application

CCO Form A Applications

Entities seeking to acquire or merge with a Coordinated Care Organization (CCO), as defined in OAR 410-141-5255, must submit a CCO Form A application to OHA for review. 


OHA can provide technical assistance related to the filing process and application. To submit questions or request technical assistance, email CCO.FormA@oha.oregon.gov.  

Pre-filing Conference

Contact Us

Please email: CCO.FormA@oha.oregon.gov

Media inquiries:
Amy Bacher, Communications
Amy.Bacher2@oha.oregon.gov
(503) 405-5403

CCO Form A Homepage

OHA encourages all entities to request a conference prior to filing a CCO Form A application. During a pre-filing conference, OHA and entities can discuss the filing process, whether the proposed transaction requires entities to file an application, what forms will need to be completed, what information may be requested from entities, handling of confidential information, and submission timing. To request a pre-filing conference, please email CCO.FormA@oha.oregon.gov. 

If the proposed transaction is also subject to Health Care Market Oversight (HCMO) program review, entities can request a joint pre-filing conference for both review processes. Entities can request the joint pre-filing conference through the CCO Form A email or the HCMO email. 

Forms

Use the form below for CCO Form A applications. Submit CCO Form A applications to CCO.FormA@oha.oregon.gov. 
  • Form A: Statement Regarding the Acquisition of Control of or Merger with a CCO
Other CCO Forms, including Forms B, C, D and F, are available on the CCO Contracts webpage. 

Other Submission Requirements

Some entities may also be required to submit information to other state or federal authorities. If you are planning a transaction, you should contact all relevant authorities to understand requirements related to your transaction. The list below includes some of the other Oregon state authorities that have requirements related to certain health care transactions: