Essential Community Providers
In order to be designated as an Essential Community Provider (ECP), a provider must demonstrate that it meets the requirements of Section 25.5-5-403 C.R.S. (2006). These regulations require that the ECP:
Has historically served medically needy or medically indigent patients and demonstrates a commitment to serve low-income and medically indigent populations who make up a significant portion of its patient population or, in the case of a sole community provider, serves the medically indigent patients within its medical capability; and
Waives charges or charges for services on a sliding scale based on income and does not restrict access or services because of a client's financial limitations.
The Department designates ECPs. Managed Care Organizations (MCOs) must seek proposals to become network providers from all designated ECPs in their service area that are capable of providing services that the MCO provides or intends to provide.
For an application to be designated as an Essential Community Provider, click here.
For more information, please contact Teresa Craig.