What are HRSA’s expectations regarding hospital eligibility and a contract with State or local government?

A hospital that is private, non-profit with a contract with a state or local government to provide health care services to low-income individuals who are not entitled to benefits under Medicare or eligible for State Medicaid, is eligible for the 340B Program. A written contract must exist between the hospital and state or local government to demonstrate the hospital’s eligibility for the 340B Program. The written contract must be current, signed by authorized representatives of the hospital and the state or local government, and specify the hospital’s obligation to provide health care services to low-income persons. The written contract should be in effect prior to registering for the 340B Program. It should be current throughout the hospital’s participation in the 340B Program. HRSA expects that the written contract will be available upon request.