California Code of Regulations › Title 22 - Social Security › Division 7 - Health Planning and Facility Construction › Chapter 11.5 - Promotion of Competitive Health Care Markets; Health Care Affordability › Article 1 - Material Change Transactions and Pre-Transaction Review › Section 97438 - Filing of Notices of Material Change Transactions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  notice of material change transaction pursuant to section
				  127507 of the Code required to be
				  filed under this section ("notice") shall be made under penalty of perjury
				  using the portal on the Office's website at www.hcai.ca.gov/login. A health
				  care entity or its agent filing via the portal shall create a portal account by
				  inputting a first and last name, valid email account, display name, and
				  password, and submit a system-generated verification code. Alternatively, the
				  health care entity or agency may use an existing media account from Microsoft
				  or Google to access the portal.
(b)
				  Form and Contents of Public Notice. A health care entity submitting a notice
				  ("submitter") shall indicate which threshold(s) and circumstance(s) are met,
				  pursuant to section
				  97435(b) and (c),
				  respectively, and provide the following information to the Office for public
				  posting on the Office's website:
(1) General
				  information regarding the submitter:
(A)
				  Business Name.
(B) Business
				  Website.
(C) Business Mailing
				  Address.
(D) Description of
				  organization, including, but not limited to, business lines or segments,
				  ownership type (corporation, partnership, limited liability company, etc.),
				  governance and operational structure (including ownership of or by a health
				  care entity).
(i) For health care providers
				  or fully integrated delivery systems, include a summary of provider type
				  (hospital, physician group, etc.), facilities owned or operated, service lines,
				  number of staff, geographic service area(s), and capacity (e.g., number of
				  licensed beds) or patients served (e.g., number of patients per county) in
				  California in the last year.
(ii)
				  For health care service plans, health insurers, risk-bearing organizations, and
				  fully integrated delivery systems, include number of enrollees per county in
				  the last year.
(E)
				  Federal Tax Identification Number and tax status as for-profit or
				  non-profit.
(F) List of current
				  California health care-related licenses issued by regulatory agencies such as
				  the Department of Managed Health Care, the Department of Insurance, and the
				  Department of Public Health; state and local business licenses related to the
				  provision of health care services; registration(s) with the Secretary of State
				  held by the submitter, if any; and for any current health-care related
				  license(s) held outside of California, identification of license type and state
				  of issuance. For purposes of this subsection, provide the health care license
				  type and numbers only for those facilities, services, and professions involved
				  in the transaction. Individual professional license information is not required
				  to be provided.
(G) Contact person,
				  title, e-mail address, and mailing address for public inquiries.