Office for Civil Rights (OCR) Clearance Process– Changes to State Survey Agency Responsibilities in Obtaining Information
for Civil Rights Clearances for Initial Certifications and Changes of Ownership (CHOWs)
This memo supersedes S&C: 09-57.
•Office for Civil Rights Clearance Process – A health care provider that applies for participation in the Medicare Part A
program must receive a civil rights clearance from OCR, as set forth in 42 CFR 480.10(b).
•Initial Enrollment or CHOW- State Survey Agencies (SAs) are to include the OCR Civil Rights Certification Information Request
Packet (Civil Rights Packet) with their initial enrollment package that is sent to a potential provider or to a provider undergoing
•Civil Rights Packet may be submitted on line- SAs must now also offer the potential provider the option to answer all questions
and submit the entire civil rights clearance package on line at https://ocrportal.hhs.gov/ocr/pgportal/.
• Online Application Submission Start Date- This change will be effective July 15, 2013.