Welcome to the Qualified Health Plan Website

This is the official Centers for Medicare & Medicaid Services’ website for issuers seeking certification to participate in the Federally-facilitated Exchanges (FFEs). As defined in the Patient Protection and Affordable Care Act (PPACA), a qualified health plan (QHP) is an insurance plan that is certified by the Health Insurance Marketplace, provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process. The QHP Application, materials, and other resources are available on this site to facilitate the certification process.

About the Marketplace: Click here to learn more about the FFE and the QHP certification cycle. This section contains details on the certification timeline, Exchange models, and guidance on how to stay updated throughout the certification period.

Application Materials: Click here to begin the QHP Application. This section contains the instructions and templates required to complete the application, as well as guidance on reviewing and submitting the application.

Certification & Forms: Click here for more information about QHP Application review results, Plan Preview, and data change windows, as well as details regarding the various forms and agreements associated with certification.

FAQs: Click here for frequently asked questions regarding QHP certification. Questions are organized by topic and updated throughout the year.


News and Updates

All changes to QHP Application data for PY2024 must be submitted to the Health Insurance Oversight System (HIOS) or transferred from the System for Electronic Rates & Forms Filing (SERFF) to HIOS by no later than 1:00 p.m. ET on August 16, 2023. Issuers submitting in SERFF are encouraged to work with their states to ensure successful data transfer by this deadline. 

For more information on the application materials required for the final submission deadline, reference the QHP Certification Issuer Toolkit.