Application Materials

The sections listed below and contained within this portion of the QHP certification website comprise a QHP Application. Each section may include one or more templates, instructions, and supporting documentation. There is also a webpage following the application material pages that houses application review tools; you can use these tools to check for errors within your application.

Application Sections

  1. Accreditation
  2. Administrative
  3. Business Rules
  4. Essential Community Providers (ECP) and Network Adequacy
  5. Interoperability
  6. State Licensure and Good Standing
  7. Machine-Readable Data
  8. Plan Crosswalk
  9. Plans and Benefits
  10. Prescription Drugs
  11. Program Attestations
  12. Quality Improvement
  13. Quality Rating
  14. Rates
  15. Service Area
  16. Transparency in Coverage
  17. Unified Rate Review
  18. URLs
Use the QHP Certification Issuer Toolkit located on the Application Submission page to ensure the application is completed and submitted correctly.