OMB control number

Essential Community Provider Data Collection to Support QHP Certification (CMS-10561)

OMB 0938-1295 · HHS/CMS.

OMB 0938-1295

For plan years beginning on or after January 1, 2017, Health and Human Services (HHS) intends to collect more complete provider data for inclusion on the HHS Essential Community Provider (ECP) list to ensure a more accurate reflection of the universe of qualified available ECPs in a given service area that can be counted toward an issuer's satisfaction of the ECP standard. The HHS will collect data on qualified and available ECPs from providers. Providers will submit an ECP petition to be added to the HHS ECP list or provide required missing data fields to remain on the list. The degree of provider participation in this data collection effort through the ECP provider petition will help inform HHS's future proposals for counting issuers' ECP write-ins toward satisfaction of the ECP standard.

The latest form for Essential Community Provider Data Collection to Support QHP Certification (CMS-10561) expires 2029-07-31 and is listed under ICR 202602-0938-016.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202602-0938-016 Reinstatement without change of a previously approved collection 2026-02-19
202206-0938-008 Reinstatement without change of a previously approved collection 2022-06-09 Approved without change
201811-0938-002 Revision of a currently approved collection 2018-11-14 Approved without change
201508-0938-015 New collection (Request for a new OMB Control Number) 2015-09-01 Approved with change