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 notices, Plan Preview, 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 are updated throughout the year.

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News and Updates

The 2020 Open Enrollment Period runs from November 1, 2019, to December 15, 2019. All eligible individuals will be able to select a health insurance plan during this time. After Open Enrollment concludes, individuals will only be able to select a health insurance plan on the Exchange if they qualify for a Special Enrollment Period.

During Open Enrollment, consumers in FFEs, states performing plan management functions, and State-based Exchanges on the Federal Platform (SBE-FPs) will use HealthCare.gov to enroll; consumers in State-Based Exchanges (SBEs) will use their respective state’s Exchange to enroll.

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