CHA News Article

Covered California Issues Draft ECP List for Public Comment

Covered California has issued a draft updated essential community provider (ECP) reference list for public comment through close of business on March 17. Covered California is dedicated to inclusion of ECPs, who serve the low-income and medically underserved communities, in provider networks offered by its Qualified Health Plans, and has indicated that its draft list is an attempt to create a single, non-duplicated list of ECPs that could potentially serve Covered California enrollees. The federal 340B list, while a critical category of ECPs, does not constitute the sole source of such entities as some provider organizations that serve the low-income and medically underserved population are not 340Bs, including some that qualify as Health and Safety Code Section 1204(a) entities under California law. Organizations that believe they should be considered an ECP but are not listed should contact Covered California. Conversely, if an organization is included on this list and believes it does not qualify as an ECP, the organization should inform Covered California.

Comments may be submitted to Covered California’s Ahmed Al-Dulaimi, senior research specialist, networks and pricing, plan management division, at ahmed.al-dulaimi@covered.ca.gov noting “ECP 2016” in the subject line. Feedback on the draft ECP list should be submitted to CHA’s Amber Kemp, vice president, health care coverage, by close of business on March 11.

Additional information is available on the Covered California website at http://hbex.coveredca.com/stakeholders/plan-management/ecp-list/.

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