QHP Marketplace Resources
Stay up-to-date on the latest network adequacy requirements and best practices for Qualified Health Plans (QHPs). Explore our growing library of blogs, briefs, videos and more!
Overview: New QHP Certification Requirements
The Centers for Medicare & Medicaid Services (CMS) will evaluate the adequacy of provider networks of Qualified Health Plans (QHPs) offered through the Federally-facilitated Exchanges (FFEs), or of plans seeking certification as FFE QHPs, except for FFEs in certain States beginning with the QHP certification cycle for PY 2023.
Updated March 30, 2022:
QHP Data Submission and Certification Calendar
This snazzy timeline highlights the major milestones for issuers offering a Qualified Health Plan (QHP) in a Federal Exchange state. Best yet, we’ll keep it updated as time goes on so you can stay on top of your game. Go ahead and download it, save it as your background, print it – or share it with a colleague.
Rewriting the Rules for Qualified Health Plans on the Federally-facilitated Exchange
Qualified Health Plans (QHPs) offered through the Federally-facilitated Exchange (FFE) are waiting for final details about their new network adequacy standards and requirements. Although the final details are being developed, we’ve received a few clues about what they may look like. In this episode, Scott Westover, SVP of Network and Regulatory Strategy, Quest Analytics, explores what issuers can expect and provides an overview of the anticipated timeline for implementation.
Court Vacates 2019 Payment Notice on Federal Review of Network Adequacy
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