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PROPOSED RULE FOR PY 2025 QHP CERTIFICATION
Discover The Key Regulatory Changes That Impact Marketplace Issuers
Four New Network Adequacy Requirements
The Centers for Medicare & Medicaid Services (CMS) released their proposed Notice of Benefit and Payment Parameters (NBPP) rule for the 2025 plan year (PY 2025). This rule is all about making sure that qualified health plans (QHPs) offered through the health insurance marketplaces are top-notch.
Most notably, the rule is focused on amending network adequacy requirements for State-Based Exchanges (State Exchanges) and State-Based Exchanges using the Federal Platform (SBE-FPs) to align with federal standards. Download our policy brief to get all the details.
MORE INSIGHTS ON FFM QHP NETWORK ADEQUACY
Get the latest insights on QHP network adequacy and stay informed with our extensive collection of resources. From compliance with marketplace requirements to maintaining accurate provider data, we’ve got you covered. Explore our resources to ensure you’re always one step ahead.
Key Dates: QHP Certification and Network Adequacy Review
It’s time to start planning! The proposed plan year 2025 (PY 2025) key dates for QHP Data Submission and Certification are here—get our calendar now.
Policy Brief: PY 2024 Final Rule QHP Certification
Learn about the changes to network adequacy standards and requirements for the 2024 plan year (PY 2024). Download our policy brief now for all the details!
Tips for QHP Issuers: Excel at the ECP/NA Template
Best practices for the QHP Essential Community Providers/Network Adequacy Template? Say no more! Download our expert tips to guide you through the process.
Fast-Track Your QHP Certification
Want to stay on top of your game, save time, and keep your provider network compliant? Schedule a consultation with our network management experts today and let us show you how we can help!