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
Federal agencies signal a shift in enforcement of short-term health insurance rules
The U.S. Departments of Labor, Health and Human Services, and the Treasury announced Aug. 7 that they are reconsidering the definition of short-term, limited-…
Headline
Analysis finds ACA plans seek to more than double last year’s median proposed premium increase
A new analysis published Aug. 6 by the Peterson Center on Healthcare and KFF found that Health Insurance Marketplace insurers will propose a median premium…
Headline
Senate committee advances appropriations bill
The Senate Appropriations Committee July 31 advanced the fiscal year 2026 appropriations bill for the Departments of Labor, Health and Human Services,…
Perspective
Connect with Your Lawmakers and Urge Them to Protect Access to Care
House members are back in their districts for the August recess and senators are likely to return to their states soon.While lawmakers are home, it’s important…
Headline
White House announces steps for drug manufacturers to meet ‘most favored nation’ pricing
The Trump administration today announced steps drug manufacturers must take to lower prescription drug prices in the U.S. to "most favored nation" pricing, the…
Headline
HHS announces new 340B Rebate Model Pilot Program
The Department of Health and Human Services today issued a notice announcing a 340B Rebate Model Pilot Program as a voluntary mechanism for qualifying drug…