Pre-filing Conference
OHA encourages all entities to request a conference prior to filing a notice of proposed transaction. During a pre-filing conference, OHA and entities can discuss the filing process, whether the proposed transaction requires entities to file a notice, 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 hcmo.info@oha.oregon.gov.
Updated Forms
Applicants are required to submit the updated versions of required forms for all submissions on or after August 12, 2024. OHA has made updates to the forms listed below in an attempt clarify requirements, collect necessary information up front, and minimize supplemental information requests. The updated forms listed below are required for all submissions on or after August 12, 2024. Until then, entities may submit the previous or updated version. Applications using previous versions of forms can expect to receive additional follow-up requests.
Form
| Who submits?
|
|---|
HCMO-1: Notice of Material Change Transaction
| Submitted by all applicants seeking to notify OHA of a proposed materials change transaction, except those applying for emergency exemption. This form will be published.
|
HCMO-1a: NPI
| All applicants submitting HCMO-1: Notice of Material Change Transaction where any of the entities have National Provider Identifiers (NPIs).
|
HCMO-1b: Business Entities
|
All applicants submitting HCMO-1: Notice of Material Change Transaction where any of the entities have multiple business entities operating in Oregon.
|
HCMO-1c: Facilities & Locations
| All applicants submitting HCMO-1: Notice of Material Change Transaction that operate facilities or locations in Oregon.
|
HCMO-2: Emergency Exemption
| Applicants requesting an emergency exemption from HCMO review due to a situation that immediately threatens health care services and is urgently needed to protect consumers and preserve the solvency of an entity.
|
HCMO-3: Rebutting Presumption of Control
| Applicants wishing to rebut the presumption of control.
|
HCMO-4: Determination of Covered Transaction Status
| Applicants requesting that OHA determine whether a notice of material change transaction is required.
|
Previous Forms
OHA will no longer accept submissions using the forms listed below as of August 12, 2024. Applications submitted prior to August 12, 2024 may use either the updated or previous version of forms. Applications using previous versions of forms can expect to receive additional follow-up requests. OHA has published
instructions to accompany the forms listed below.
Form
| Who submits?
|
|---|
Notice of Material Change Transaction
| This form is submitted by all applicants seeking to notify OHA of a proposed materials change transaction, except those applying for emergency exemption. This form will be published.
|
Emergency Exemption
| Applicants requesting an emergency exemption from HCMO review due to a situation that immediately threatens health care services and is urgently needed to protect consumers and preserve the solvency of an entity.
|
Rebutting Presumption of Control
| Applicants wishing to rebut the presumption of control.
|
NPI Form
| All applicants submitting a Notice of Material Change Transaction where any of the entities have National Provider Identifiers (NPIs).
|
Determination of Covered Transaction Status
| Optional submission for applicants requesting that OHA determine whether a notice of material change transaction is required.
|
Other Submission Requirements
Some health care 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: