Application Materials
The QHP Application has 17 sections. Each section includes one or more templates, instructions, and supporting documentation. There is also a section for review tools you can use to validate a completed template.Application Sections
- Accreditation
- Administrative
- Business Rules
- Essential Community Providers (ECP) and Network Adequacy
- State Licensure and Good Standing
- Machine-Readable Data
- Plan Crosswalk
- Plans and Benefits
- Prescription Drugs
- Program Attestations
- Quality Improvement
- Quality Rating
- Rates
- Service Area
- Transparency in Coverage
- Unified Rate Review
- URLs
Once completed, submit your application though HIOS or SERFF. See Application Submission for information on registering for or using these systems.