CMS Issues Final List of Essential Community Providers for Plan Year 2019

Feb 15, 2018 - 02:36 PM

The Centers for Medicare & Medicaid Services today published a final list of Essential Community Providers for plan year 2019, available on the CMS website under “Application Resources.” Health insurers use the annual list to identify providers meeting ECP requirements for Qualified Health Plans participating in health insurance exchanges. The ECP hospital category includes disproportionate share hospitals, children’s hospitals, rural referral centers, sole community hospitals, free-standing cancer centers and critical access hospitals. Qualifying hospitals should confirm they are on the list and report any errors to the CMS regional office. Hospitals that serve predominantly low-income, medically-underserved individuals may petition CMS through Aug. 22 to be on the ECP list for plan year 2020.

Related News Articles

Headline
Blog: Four Reasons the HHS Provider Tax Study Misses the Mark
A new AHA blog examines a Department of Health and Human Services issue brief that claims Medicaid hospital provider taxes increase employer-sponsored…
Blog
HHS Analysis Does Not Establish a Causal Link Between Medicaid Provider Taxes and Commercial Premiums
Public
A recent issue brief from the Department of Health and Human Services asserts that Medicaid hospital provider taxes raise employer-sponsored insurance premiums…
Headline
2026 open enrollment for marketplace plans to begin Nov. 1
Individuals and families can enroll in or change their health coverage options through the Health Insurance Marketplace from Nov. 1 through Jan. 15. The AHA…
Headline
AHA podcast: How AdventHealth Is Simplifying Access to Care
In this conversation, Brent Davis, CEO of the primary health division at AdventHealth, shares how improved patient access, coordinated care teams, virtual care…
Headline
CMS proposes changes to Marketplace pre-enrollment verification process
The Centers for Medicare & Medicaid Services Oct. 23 released a proposed rule implementing new Health Insurance Marketplace eligibility verification…
Headline
Commonwealth Fund survey finds uninsured rate among working-age Americans rose to 11% in 2026 
The uninsured rate among working-age Americans rose to 11.2% in 2026, up from 8.9% in 2024, according to the latest biennial Commonwealth Fund survey on health…