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QHP Certification and New Network Adequacy Review Timeline

Proposed Qualified Health Plan (QHP) Data Submission and Certification Timeline Key Dates for Plan Year 2025. Download the calendar now!

Love a good calendar? We do too!

Whether you’re keeping up with the latest news on network adequacy requirements or you’re a busy professional who can’t afford to miss a deadline, we’ve got just what you need. Our sleek timeline highlights the important submission dates for issuers offering a Qualified Health Plan (QHP) on the Federally-facilitated Exchanges. As a bonus, we’ll keep it updated for you! Go ahead and download it, save it as your background, print it – or share it with a colleague.

Policy Brief: Proposed Rule for QHP Certification and Network Adequacy

The proposed rule for PY 2025 QHP Certification includes four new network adequacy requirements for State-based Exchanges and State-based Exchanges on the Federal Platform (SBE-FPs). Don’t let these changes catch you by surprise – read our policy brief to be ready. Get the Brief

Key Dates QHP Data Submission and Certification for PY 2025

Federally-Facilitated Exchanges

Get ready to plan your schedules with the proposed calendar! Check out the key dates below for a quick glimpse of the application dates. To get the full scoop and more additional dates, be sure to download the calendar now. 

Proposed Key Network Adequacy Application Deadlines

May 15, 2024 | Early Bird Application Deadline

Optional Early Bird deadline for Issuers to submit QHP Applications to CMS.

June 12, 2024 | Initial Application Submission Deadline

The initial deadline for Issuers to submit QHP Applications to CMS, including Machine-Readable Index URLs and Plan ID Crosswalk data.

July 17, 2024 | Secondary Application Submission Deadline

Deadline for Issuers to submit their QHP Application Rates Table Templates to CMS; Optional deadline for Issuers to submit corrected QHP Application data to CMS.

August 14, 2024 | Final Application Deadline

Deadline for Issuers to submit changes to their QHP Applications and to submit marketing URL data.

All dates are subject to change and we will update the timeline as events warrant.

QHP MARKETPLACE RESOURCES

Discover the QHP Marketplace Resource Hub to ensure your health plan offers the highest quality of care in compliance with regulations. Find the most up-to-date tips, videos, and other resources to give your plan a competitive edge.

Take on Provider network management with confidence

Gain data integrity and drive maximum impact from your provider network with Quest Analytics CCIIO QHP Network Adequacy Template. Our experts will help you create, manage, and monitor your provider network quickly and easily. Schedule your strategy session now!

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