How should a hospital determine if an off-site outpatient facility is eligible for 340B as a child site and should be added to the 340B OPAIS?

Off-site outpatient facilities are eligible child sites of a 340B hospital in the following conditions:

1. The outpatient facility is listed as a reimbursable facility on a 340B hospital covered entity’s most recently filed Medicare cost report and has associated outpatient costs and charges. If the facility is a free-standing clinic of the hospital that submits its own cost reports using a different Medicare number (not under the covered entity’s Medicare provider number), then it would NOT be eligible. Specific guidance (PDF - 1 MB) was released in 1994. Hospitals registering outpatient facilities will be asked to enter several figures from Worksheet A and Worksheet C from the latest filed Medicare cost report and the associated trial balance to determine eligibility. For more information on hospital off-site outpatient facility registration requirements, visit Hospital Registration Instructions (PDF).
2. For hospitals, all clinics located off-site of the parent hospital, regardless of whether those clinics are in the same off-site building must register as child sites of the parent 340B-eligible hospital if the covered entity purchases and/or provides 340B drugs to patients of those facilities. For example, if the off-site outpatient facility is a hospital, all clinics/departments within that off-site location that plan to purchase and/or provide 340B drugs to its outpatients must register as a child site.