Supporting HIV care through education and innovation

Health Care Reform & Essential Community Providers: Information for Ryan White Providers

Health Care Reform & Essential Community Providers: Information for Ryan White Providers

June 2013
HIVMA

Description

Tip sheet (update from April version) explaining how safety net providers can contact and seek contracts with health insurance plans as Essential Community Providers (ECPs), defined as providers with experience caring for medically underserved individuals. Health insurance plans are required to contract with ECPs, but not all, and as such are unlikely to reach out to safety net providers. Sections cover: 

  • What is the ECP Policy in My State?
  • What Providers Are Considered ECPs in Federally-Facilitated and Partnership Marketplaces?
  • Do I Need to Sign Up to Be an ECP?
  • What About State-Administered Marketplaces (Exchanges)?
  • Plans Required to Contract With Ryan White Providers?
  • How Do I Identify the Health Plans Offering Coverage in My State?

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