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UPDATE FOR COVERED ENTITY/CONTRACT PHARMACY REGISTRATIONS (1/29/2013)
The 340B covered entity and contract pharmacy registration period for a start date of 4/1/2013 has closed; registrations will next be accepted from 4/1/2013 through 4/15/2013 for a start date of 7/1/2013. Registrations will continue to be accepted at other times from organizations in states with declared public health emergencies (currently New York; the declaration for New Jersey has expired). For assistance with New York registrations, contact OPA at 340BRegistration@hrsa.gov.)
For hospitals: OPA requires copies of several documents to verify eligibility. Please review the supplemental hospital registration instructions carefully and submit the applicable documents on the same day that online registration is completed; registrations not accompanied by complete and correct documentation will be deleted and will not be reviewed (entities whose registrations have been deleted will be notified and can re-register until the last day of the registration period).
Please e-mail or fax materials to the appropriate address for your organization type; your Medicare provider number should be in the subject of the e-mail or prominently on the fax cover sheet:
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| Registration Type |
E-mail address |
Fax |
| Disproportionate Share Hospitals |
340BRegistrationDSH@hrsa.gov |
301-443-6571 |
| Critical Access Hospitals |
340BRegistrationCAH@hrsa.gov |
301-443-6572 |
| Sole Community Hospitals |
340BRegistrationSCH@hrsa.gov |
301-443-6573 |
| Rural Referral Centers |
340BRegistrationRRC@hrsa.gov |
301-443-6574 |
| Freestanding Cancer Hospitals |
340BRegistrationCAN@hrsa.gov |
301-443-6575 |
| Pediatric Hospitals |
340BRegistrationPED@hrsa.gov |
301-443-6576 |
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For Consolidated Health Center (CHC) program entities: If the address of a site being registered does not appear in HRSA’s Electronic Handbooks (EHB) system on the same day that the online registration is submitted, the registration will be deleted. If necessary, contact your HRSA project officer for assistance.
For other non-hospital covered entities: No additional documents are required at registration, although OPA may request additional information during our review of your registration material.
For contract pharmacy registrations: Covered entities will be provided with a contract certification form upon completion of the online registration process. Once signed by the entity’s authorizing official and an authorized pharmacy representative, the form must be returned to OPA via e-mail to 340BContractPharmacy@hrsa.gov or fax to 301-443-6577.
For all entities: Original signed certifications and other documents may be retained by the entity if e-mailed or faxed, but copies may also be sent via overnight courier at the entity’s discretion.
Health Resources and Services Administration
Attn: Office of Pharmacy Affairs
5600 Fishers Lane, 10C-03
Rockville, MD 20857
ONLINE COVERED ENTITY CHANGE REQUESTS
Entities may follow the ‘Submit Change Request’ link on the 340B database home page to submit updated names, addresses, contact information and/or Medicaid billing details; all changes will be forwarded to the entity’s Authorizing Official for acceptance prior to being reviewed by OPA staff. For additional guidance, refer to the change request user guide located under the "Useful Links" section above.
Please note that paper change request forms are still required for entity termination requests, changes to Authorizing Officials and/or changes to contract pharmacy relationships or manufacturer information. Paper requests for changes that can be made online are no longer being accepted; entities do not need to resubmit previously submitted paper requests online.
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