Application Materials

The QHP Application has 15 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

1. Accreditation
2. Administrative
3. Business Rules
4. Essential Community Providers (ECP) and Network Adequacy
5. State Licensure and Good Standing
6. Plan Crosswalk
7. Plans and Benefits
8. Prescription Drugs
9. Program Attestations
10. Quality Improvement
11. Quality Rating
12. Rates
    
13. Service Area
14. Transparency in Coverage
15. Unified Rate Review

Use the QHP Submission Checklist to ensure the application is completed correctly. There is one checklist for QHP issuers and one for SADP issuers.

Once completed, submit your application though HIOS or SERFF. See Application Submission for information on registering for or using these systems.