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 are also webpages following the application material pages that house application review tools; you can use these tools to check for errors within your application.
Application Sections
- Accreditation
- Administrative
- Business Rules
- Essential Community Providers (ECP) and Network Adequacy
- Interoperability
- 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
Use the QHP Certification Issuer Toolkit located on the
Application Submission page to ensure the application is completed and submitted correctly.
