Accreditation

All issuers in FFE states must complete the accreditation attestations in the QHP Application and authorize the release of their accreditation survey data from the accrediting entity, if applicable. Issuers in states performing plan management functions and SBE-FPs should comply with the requirements specified by their state.

Key Changes for PY2024:

  • Issuers must submit their Plan ID Crosswalk template in the PM Community at the same time they submit the Issuer Accreditation grouping in MPMS to ensure all related information is available for review.

Tips for the Accreditation Section

  • Only provide information on accredited products in the same state and for the same legal entity that submits the QHP Application.
  • Provide accrediting entities with your legal issuer name and the HIOS Issuer ID used in your QHP Application to ensure the HIOS Issuer ID is included in the data file the accrediting entity provides to us.

Application Resources