Healthcare DIVE April 3, 2024
Starting in 2026, plans sold in state-based exchanges will be required to meet time and distance standards for provider access that are already applied to plans sold federally.
Dive Brief:
- The Biden administration on Tuesday finalized new network adequacy standards for plans in state-run Affordable Care Act exchanges — and allowed states to add dental services as an essential health benefit.
- Starting in 2026, provider network standards that apply to federal marketplaces, like minimum time and distance standards for a variety of specialties, will also apply to state-based exchanges.
- The rule also requires states’ open enrollment periods to match that of the federal exchanges.
Dive Insight:
The adequacy of plans’ provider networks is key for members actually being...
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