QHP Certification (Other) FAQs

SADP Voluntary Reporting

Q1: What is the SADP Intent-to-Offer Survey?
  • The SADP Intent-to-Offer Survey is a way for stand-alone dental plans (SADPs) to communicate whether and where they intend to offer plans on the Exchanges during the coming plan year (PY). While reporting SADP intent-to-offer data is voluntary, CMS encourages SADP issuers to complete the survey so that medical QHPs know whether they need to embed the pediatric dental essential health benefit (EHB) within their medical plans. Medical QHPs are allowed to omit coverage of the pediatric dental EHB from their medical plans as long as an SADP that covers pediatric dental is offered through the same Exchange in which the medical QHP is being offered. Therefore, it is important for medical QHPs to know where SADPs intend to offer coverage for the upcoming plan year.  
Q2: How do SADP issuers submit the SADP Intent-to-Offer Survey?
  • The survey is an Excel template provided by CMS. If a dental issuer is a member of the National Association of Dental Plans (NADP) or Delta Dental Plans of America (DDPA), they should email the completed template to their point of contact at the NADP or DDPA, as applicable. SADP issuers (including those that are not members of the NADP or DDPA) may also submit their data directly to the Center for Consumer Information and Insurance Oversight (CCIIO) by sending the completed survey template to dental@cms.hhs.gov. The survey is due February 15, 2021

Other

Q1:When can an issuer begin marketing their certified QHPs?
  • Nothing in federal standards prohibit issuers from marketing their certified QHPs for the next coverage year after receiving their countersigned QHP agreement. 
Q2: Do issuers in states transitioning their Exchange to a State-based Exchange (SBE) have to complete the Issuer Module in the Health Insurance and Oversight System (HIOS) for QHP Certification?
  • Issuers in states that have not completed their transition to SBE should continue to submit QHP Application data for the next plan year through the System for Electronic Rates & Forms Filing (SERFF) per the timeline and requirements for SBE-FP states provided in the Letter to Issuers on the Federally-facilitated Exchange. Consult with your state if you have additional questions.
Q3: Which QHP certification review results should an issuer see in the PM Community?
  • A full list of all QHP certification review results and the Exchange type(s) for which these results are shared is available on the QHP Applications Corrections page of the QHP certification website.