![]() This network breadth pilot continues for plan year 2022, for the threshold used for network ratings by CMS are: Basic: <30% providers Standard ≥30% to 70% providers Broad: ≥70% providers. Consumers are able to compare networks for three provider types, including adult primary care providers, pediatricians, and hospitals. Consumers in these pilot states see information classifying the relative breadth of the plans’ provider networks as compared to other Exchange plans in the county. In 2016, the Center for Medicate and Medicare Services (CMS) piloted a display of network breadth information for Qualified Health Plans on in four states: Maine, Ohio, Tennessee, and Texas. To help ensure that plans offered in the Marketplaces serve the needs of enrollees, the ACA requires that plans must maintain a provider network that is “sufficient in numbers and types of providers, including providers that specialize in mental health and substance abuse services, to assure that all services will be accessible without unreasonable delay.” In 2017 the administration proposed deferring to states’ interpretation on network adequacy standards and the oversight of it.
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