Submission Needed for OHA Review and Approval
All Provider Termination materials, per
42 CFR 438.10(f)(1). This includes any letters, text messages, phone scripts or other materials related to any contracted provider termination or closure.
- Important: All provider terminations must be submitted, including the specific notice that will be sent with provider detail.
- OHA most often receiveS templates without specific information or templates only related to DSN Material Changes.
All Marketing materials, per
42 CFR 438.104(c). Please use the
Marketing Checklist before submitting your documents.
Separate Contract Deliverables, including but not limited to: Member Handbooks, Denial notices, Annual letters and Welcome Packets, Notices of Nondiscrimination and Language Access, Health Risk Assessments.
Materials not listed above do not need to be submitted to OHA for review, unless specifically requested via Administrative Notice.
Member Material Review Timelines
To learn more about the submitting member material,
please refer to the Member Material Submission Guide.
- Regular submissions are reviewed within 45 days.
- Expedited submission are reviewed within 15 days. Criteria: Urgent needs that affect members, such as changes to provider networks.
- Emergency submissions are reviewed within 4 days. Criteria: Public health emergencies such as wildfires, floods, or any emergent needs.