OAR 436-015-0010: Notice of Intent to Form an MCO

(1) Any health care provider or group of medical service providers initiating an MCO under ORS 656.260 must submit a “Notice of Intent to Form” to the director, by certified mail. Form 2737 may be used for this purpose. (2) The Notice of Intent to Form must include the following: (a) The identity of each person who participates in discussions intended to result in the formation of an MCO. If the person is a member of a closely held corporation, the notice must include the identity of the shareholders; (b) The name, address, and telephone number of a contact person; and (c) A summary of the information that will be shared in discussions preceding the application for MCO certification.