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Get OR OHA 3973 2013-2024

use the OHA 3974 (Disclosure Statement of Ownership and Control Interest). PURPOSE The primary use of the Disclosure Statement is to comply with 42 CFR Part 455 Subpart B and OAR 410-120-1260(6)(c) and to facilitate monitoring of providers sanctioned by the U.S. Department of Health and Human Services (DHHS) Centers for Medicare and Medicaid Services (CMS), DHHS Office of Inspector General, another state, the Oregon Health Authority (OHA), or the Oregon Department of Justice Medicaid Fraud Uni.

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