Be Ready for Network Adequacy and QHP Application Changes

Understanding the New QHP Certification Process

Big changes are just around the corner! Network adequacy requirements for Qualified Health Plan (QHP) certification in State-based Exchanges and State-based Exchanges on the Federal Platform (SBE-FPs) are set to make considerable changes over the next year to align with the Federally-facilitated Exchanges. 

Additionally, there have been updates to the upcoming Network Adequacy Application Submission process for those participating in the Federally-facilitated Exchanges. 

Download our executive summary for an overview of these pivotal changes. 


PY2025 QHP Certification Marketplace Network Adequacy Rules Policy Brief
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!

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