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
White House releases health care plan
The White House released a health care plan Jan. 15 addressing drug prices, health insurance premiums and price transparency efforts. The plan includes…
Headline
AHA comments on proposed ‘public charge’ rule
The AHA Dec. 19 submitted comments on the Department of Homeland Security’s proposed rule regarding the Public Charge Ground of Inadmissibility, urging the…
Headline
House passes narrow health care package; sets up a vote on EPTCs in January
The House Dec. 17 passed the Lower Health Care Premiums for All Americans Act (H.R. 6703), legislation to expand association health plans, increase…
Headline
AHA urges Elevance Health to rescind Anthem’s ‘Nonparticipating Provider Policy,’ citing harm to patient care access
The AHA Dec. 17 urged Elevance Health, which is the parent company of the Anthem brand of health plans, to rescind Anthem’s nonparticipating provider…
Headline
Report finds increasing concentration in commercial health, MA insurance markets 
The American Medical Association Dec. 16 released its latest annual report on health insurance competition, finding that 97% of commercial markets were highly…
Headline
CMS says nearly 950,000 enrolled for new Marketplace coverage 
Approximately 950,000 consumers who currently do not have health insurance coverage through the federally facilitated Health Insurance Marketplace have signed…