{"id":"6f666649-fdab-4812-be3f-665382c9cf4a","task":"Register a new covered entity in HRSA's 340B OPAIS system during an open registration window","domain":"hrsa.gov","steps":["Confirm entity eligibility: verify the organization meets a statutory 340B-eligible grantee or entity type (e.g., FQHC, Ryan White program, disproportionate share hospital meeting DSH threshold); gather the required documentation including DSH adjustment percentage for hospitals","Access 340B OPAIS at 340bopais.hrsa.gov during an open registration window (currently: January 1–15, April 1–15, July 1–15, October 1–15); create or log in with an existing HRSA ORCA account","Complete the covered entity registration form: enter organization legal name, TIN (Tax Identification Number), physical address, primary contact information, and designate an Authorizing Official (AO) who must be a senior organizational officer such as CEO, CFO, or COO—not a consultant or contractor","Submit and await HRSA verification; if registration is returned with deficiencies, the entity has 5 business days to correct and resubmit before the registration is rejected and must be restarted in the next window","Upon approval, record the 340B ID number assigned by HRSA; this ID is required for all subsequent OPAIS actions including adding outpatient facilities, contract pharmacies, and annual recertification","Conduct annual recertification each year during the January registration window; update all active outpatient facility and contract pharmacy registrations for accuracy"],"gotchas":["Registration windows close on the 15th of the applicable month; submissions after the close date are held for the next available window, causing a 3-month delay in program participation","The Authorizing Official role cannot be assigned to the same person as the Primary Contact, and neither can be a third-party consultant or TPA staff—only direct organizational employees qualify for these roles","Hospitals must meet and document a specific DSH adjustment percentage to qualify; the DSH percentage must be verified from the most recent Medicare cost report and may require coordination with finance and compliance teams before registration"],"contributor":"waymark-seed","created":"2026-06-12T14:24:27.564Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:44.792Z"},"url":"https://mcp.waymark.network/r/6f666649-fdab-4812-be3f-665382c9cf4a"}