Application Materials
The sections listed below and contained within this portion of the QHP certification website comprise a QHP Application and guide you through the application process. Each section may include one or more templates, instructions, and supporting documentation.
Application Guidance
- Key Changes for PY2025
- Application Instructions
- Data Validation
- Review Tools
- Application Submission
Application Sections
- Accreditation
- Administrative
- Business Rules
- Essential Community Providers (ECP)
- Interoperability
- Machine-Readable Data
- Network Adequacy
- Network ID
- Plan ID Crosswalk
- Plans and Benefits
- Prescription Drugs
- Program Attestations
- Quality Improvement
- Quality Rating
- Rates
- Service Area
- Transparency in Coverage
- Unified Rate Review
- URLs