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H H S Department of Health and Human Services
Health Resources and Services Administration
HIV/AIDS Programs

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Essential Community Providers

Under the Affordable Care Act, insurance plans offered through the Marketplace-known as Qualified Health Plans (QHPs)-are required to include some essential community providers (ECPs).  The Centers for Medicare & Medicaid Services Center for Consumer Information & Insurance Oversight maintains a non-exhaustive list of Essential Community Providers to assist health insurance issuers in locating ECPs. ECPs are providers that serve predominately low-income, medically underserved individuals. This definition includes Ryan White HIV/AIDS Program providers.

HHS has compiled a non-exhaustive list of available ECPs, based on data the agency and other Federal partners maintain. This list is used as an initial source of ECP information. All providers who qualify as an ECP and who are currently on the ECP list or wish to be added should visit CMS.gov to view Qualified Health Plans.

View Frequently Asked Questions (FAQs) and other resources related to Heath Insurance Marketplaces

Questions about the ECP database should be sent to: essentialcommunityproviders@cms.hhs.gov.