Hospital Registration

You must be the logged-in AO or ClosedPC External user who is designated as a Primary Contact for an entity. This user can enter registrations and update entity information. This user can enter registrations, and update entity information. Any changes to an entity performed by the PC user must be attested to by the AO for that entity. to register a hospital that is currently not participating in the Closed340B Program The federal drug discount program authorized under section 340B of the Public Health Service Act and established by Congress under the Veterans Health Care Act of 1992 (Public Law 102-585, codified at 42 USC § 256b). The 340B program requires drug manufacturers to enter into pharmaceutical pricing agreements with the HHS Secretary, under which manufacturers agree not to sell covered outpatient drugs to covered entities above 340B ceiling prices..

Be Prepared to Upload Cost Report Documentation. As part of the registration process, the system will require you to upload worksheets from the most-recently filed Cost Report to support the registration Qualification Information. Failure to upload the required documentation before submitting the registration will result in rejection of the registration for the quarter.

The required attachments vary by hospital type:

Cost Report Worksheets for Hospital Registrations

Hospital Type

Cost Report Worksheets

S

S-2

S-3

E (Part A)

ClosedDisproportionate Share Hospital (DSH) One of the categories of hospitals that are eligible to participate in the 340B Program. Disproportionate Share Hospitals serve a significantly disproportionate number of low-income patients and receive payments from the Centers for Medicaid and Medicare Services to cover the costs of providing care to uninsured patients. Disproportionate share hospitals are defined in Section 1886(d)(1)(B) of the Social Security Act. To be eligible to participate in the 340B Program, disproportionate share hospitals must meet the requirements of section 340B(a)(4)(L) of the Public Health Service Act.

Yes

Yes

No

Yes

ClosedCritical Access Hospital (CAH) Critical Access Hospitals are designated by the Centers for Medicare and Medicaid Services. The defining legislation is Section 1820(c)(2) of the Social Security Act. To be eligible to participate in the 340B Drug Pricing Program, Critical Access Hospitals must meet the requirements of section 340B(a)(4)(L)(i) of the Public Health Service Act.

Yes

Yes

No

No

Freestanding Cancer Hospital (CAN)

Yes

Yes

No

Yes

ClosedChildren's Hospital (PED) One of the categories of hospitals that are eligible to participate in the 340B Program. Nonprofit hospitals that serve individuals through the age of 18 years of age and have a CMS-issued 3300 Series Medicare Provider Number to designate them as Medicare certified children's hospitals. Children's hospitals must meet certain requirements, including a DSH adjustment percentage greater than 11.75% and compliance with the GPO Prohibition, to be eligible to participate in the 340B program.

Yes

Yes

Yes

No

ClosedRural Referral Center (RRC) One of the categories of hospital covered entities that are eligible to participate in the 340B Program. Rural Referral Centers are high-volume acute-care rural hospitals that treat a large number of complicated cases. Hospitals classified as Rural Referral Centers may be eligible to participate in the 340B Drug Pricing Program if they have a disproportionate share adjustment percentage equal to or greater than 8 percent for the most recently filed Medicare cost report and meet the requirements of section 340B(a)(4)(L)(i) of the Public Health Service Act.

Yes

Yes

No

Yes

ClosedSole Community Hospital (SCH) One of the categories of hospital covered entities that are eligible to participate in the 340B Program. Sole Community Hospitals are designated by the Centers for Medicare and Medicaid Services. To be eligible to participate in the 340B Drug Pricing Program, Sole Community Hospitals must also have a disproportionate share adjustment percentage equal to or greater than 8 percent for the most-recently filed Medicare Cost Report and meet the requirements of Section 340B(a)(4)(L)(i) of the Public Health Service Act.

Yes

Yes

No

Yes

Follow these file attachment rules to prevent rejection during uploading:

  • Only Microsoft Excel (xlsx) and Adobe PDF formats are allowed. Excel files must not be macro-enabled.
  • File size is limited to 50MB.
  • Files must not be password protected.
  • Files must pass virus scan.
  • Number of uploaded files must not exceed 10 files per submission.

  1. From the 340B home page, select Register > Register Covered Entity and/or Outpatient Facility from the top menu or click the Register Covered Entity icon.

    screen shot of Covered Entity Registration selection from the 340B OPAIS home page

  2. On the Covered Entity Registration page, click the "A Hospital" button.

    screen shot of selection of "A Hospital" from the Covered Entity Registration page

  3. On the Search for Hospital page, enter the MPN for the new hospital and click the Search button.

    screen shot of Search for Hospital page

  4. The system displays the Register Hospital page to confirm the hospital name, street address, entity type, and current 340B status.

    screent shot of Register Hospital page, showing the hospital name, street address, entity type, and current 340B status

    If the entity is terminated, the system will prompt to reinstate it or register it as a different entity type.

    screen shot of message to reinstate a terminated entity or register as a different type

  5. Select Register for the 340B program as the entity type listed above and click the Continue button.

Registration Activities