Guidance Documents

The Oregon Health Authority (OHA) has developed sub-regulatory guidance to help entities better understand Health Care Market Oversight program requirements. Please send any questions about these documents to hcmo.info@oha.oregon.gov. 

• HCMO Frequently Asked Questions
  
• HCMO Analytic Framework
  
• HCMO Guidance Document (updated September 1, 2026) reviews the following topics: 
  
• Asset Ownership and Control 
• Community Review Board 
• Criteria for Comprehensive Review 
  
• Confidential Information 
• Defining Essential Services & Significant Reduction (Effective July 2024)
  
• Emergency Exemptions
  
• Entities Subject to Review 
• Furnishing Final Definitive Agreements 
  
• Follow-up Reviews 
• Materiality Standard 
  
• Out-of-State Entities 
  
• Outside Advisors 
• Public Comments 
• Safe Harbor and Exempted Transactions 
  
• Violations and Civil Penalties 
• Essential Services and Significant Reduction (Effective March 1, 2027) 
  

Archived: Guidance Document Public Comments 

• Providence Health & Services 2/7/22
  
• Providence Health & Services 2/1/22
  
• SEIU Local 49 2/7/22
• SEIU Local 49 1/21/22
  
• OAHHS 2/4/22
• OAHHS 2/1/22
  
• Salem Health
  

Archived: Technical Advisory Group Meetings

OHA convened a Technical Advisory Group (TAG) in January 2022. The TAG provided input and recommendations about OHA’s definitions of essential services and significant reductions in services.

TAG 1: January 14, 2022

Materials:

1. HCMO TAG Proposed Guidance
2. TAG Slides

TAG 2: January 28, 2022

Materials:

Contact Us

Please email: hcmo.info@oha.oregon.gov

Media inquiries:
Franny White, Communications 

franny.l.white@oha.oregon.gov

(971) 349-9539