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

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