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
TrumpRx platform offers discounted prescription drugs
The White House yesterday launched TrumpRx, the direct-to-consumer platform that will serve as a hub to direct cash-paying consumers to drug manufacturers…
Headline
Behavioral health IT pilots to focus on data exchange
The Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology announced the selection of nine pilots as…
Headline
CMS issues updated guidance on state-directed payment provision
The Centers for Medicare & Medicaid Services Feb. 2 updated guidance originally issued in September on a budget reconciliation bill …
Headline
CMS finalizes changes to Medicaid provider tax waiver rules
The Centers for Medicare & Medicaid Services Jan. 29 issued a final rule regarding states non-uniform or non-broad-based provider tax, as authorized under…
Headline
HHS OIG releases bulletin on direct-to-consumer drug sales, RFI on need for regulatory changes
The Department of Health and Human Services Office of Inspector General Jan. 27 released a bulletin addressing how direct-to-consumer drug programs can sell…
Headline
CMS announces drugs selected for third round of drug price negotiations
The Centers for Medicare & Medicaid Services Jan. 27 announced 15 drugs under Medicare Parts D and B selected for the third round of price negotiations.…