• Letter or Testimony
  • December 8, 2016

CHA Comments on 2018 Draft Letter to Exchange Plans

CHA comments to the Center on Consumer Information and Insurance Oversight (CCIIO) on its 2018 Draft Letter to Issuers in the Federally-facilitated Marketplaces reiterates previous recommendations that the agency: 

  1. Define the pediatric Essential Health Benefit so it guarantee access to medically necessary, age-appropriate coverage
  2. Adopt a network adequacy standard that ensures children in-network access to all providers of covered services

In addition, the letter:

  • Addresses new network breadth classifications for qualified health plans. CHA encourages CCIIO to include integrated care networks in the classification system that seamlessly provide health care services, from the perspective of the patient and family, across the entire care continuum
  • Supports CCIIO’s proposal to assess enrollee access to specialty providers and makes specific recommendations to better focus the assessments on pediatric specialty care access
  • Recommends additional measures to inform essential community providers (ECPs) about the ECP database and petition process