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

1. Accreditation
2. Administrative
3. Business Rules
4. Essential Community Providers (ECP) and Network Adequacy
5. State Licensure and Good Standing
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 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.