With resources at critically low levels across all regions of the
state, the nation, and worldwide, the best way to get supplies in
California is to request them through the Medical and Health
Operational Area Coordinator (MHOAC) Program.
A list of county MHOAC contacts is here,
and a reference guide for making requests — along with a chart
illustrating the flow of communication and resources
Instructions for requesting supplies through MHOAC — a process
that is tested annually with your hospital and disaster
coordinator during the November Statewide Medical and Health
Exercise — are below.
Hospital initiates the request to the MHOAC using a 213 Resource
Request (RR). Note: Even though hospitals often realize that
local, regional, and state caches may be empty, it is important
to continue submitting 213 RR requests to ensure the requests are
making it to CDC for potential fulfillment.
The MHOAC distributes any local supplies available.
If there are insufficient local/county supplies, the MHOAC
submits the hospital’s 213 RR to the Regional Disaster Medical
and Health Specialist to check for available supplies in the
If there are insufficient supplies in the region, the Regional
Disaster Medical and Health Specialist submits the hospital’s 213
RR to the State Medical and Health Command Center, which is a
combined state command center of the Emergency Medical Services
Authority and the California Department of Public Health.
If there are insufficient state supplies, the Medical and Health
Command Center shares the requests with the State Operations
Center, which then — under the Governor’s emergency declaration —
makes a request from the Strategic National Stockpile and Vendor
If you are using this process and not receiving a response
or the necessary resources you need, please contact Mary Massey,
vice president, emergency preparedness,