Through cost and market impact reviews, OHCA will analyze transactions that are likely to significantly impact market competition, the state’s ability to meet targets, or affordability for consumers and purchasers. Based on results of the review, OHCA will then coordinate with other state agencies to address consolidation as appropriate.

Material Change Transaction Notices (MCN) and Cost and Market Impact Review (CMIR)

The portal below allows health care entities create an account and file a notice of material change transaction.

MCN Submissions List

View the list of submitted material change transaction notices at the link below.

MCN & CMIR Frequently Asked Questions

Statutes & Regulations

Health Care Market Trends

Material Change Transactions and Pre-Transaction Review