Quality Improvement

All issuers offering QHPs through the Exchanges that meet the Quality Improvement Strategy (QIS) participation criteria must comply with the QIS requirements as a condition of certification and participation in the Exchanges. CMS annually publishes the QIS Technical Guidance and User Guide, a detailed guide to the QIS requirements, and the QIS Implementation Plan and Progress Report Form, which is the QIS reporting tool for issuers applying for QHP certification.

QIS Materials for the 2022 Plan Year

The Quality Improvement Strategy (QIS) materials for the 2022 plan year are now available for issuers to download from the Marketplace Quality Initiatives website.

  • The QIS Issuer List for the 2022 Plan Year includes issuers operating in Federally-facilitated Exchanges (FFEs) and FFEs where states perform plan management that meet the QIS participation criteria and are required to implement and report on at least one QIS as a condition of QHP certification for the 2022 plan year.
  • The QIS Implementation Plan form and Progress Report form for the 2022 Plan Year (QIS forms) collect QIS information from issuers in order to demonstrate compliance with section 1311(c)(1)(E) of the Patient Protection and Affordable Care Act.
  • The QIS Technical Guidance and User Guide for the 2022 Plan Year communicates finalized QIS requirements and instructions for how to complete the QIS form.

Issuers should submit questions about QIS to the Marketplace Service Desk (MSD) by phone at 1-855-CMS-1515 (1-855-267-1515) or by email at CMS_FEPS@cms.hhs.gov. When submitting inquiries via email, please include "MQI-QIS" and your HIOS Issuer ID in the subject line or body of the email.