Aligning Network Adequacy Requirements Across Marketplaces

Key Insights: PY2025 & PY2026 QHP Certification
New QHP Network Adequacy Requirements Explained

Discover the latest Network Adequacy and Provider Directory Accuracy Requirements for QHP Certification

The rules have changed, and staying on top of the new network adequacy requirements for Qualified Health Plan (QHP) certification is essential for compliance and excellence.

Our policy brief provides everything you need to know about the updated policies that bring significant changes for State-based Exchanges and State-based Exchanges on the Federal Platform. With a focused look into the standards and requirements for the 2025 plan year and a preview of the major updates expected for 2026, you’ll be equipped with the necessary insights to navigate the evolving landscape of QHP certification with confidence.

Download the policy brief now to dive into what these changes mean for your plans, and how you can get ahead. 

Policy Brief on PY2025 QHP Certification Marketplace Network Adequacy Rules. Download now.

Find More Marketplace Resources on QHP Certification

6 Tips for QHP Issuers Completing the Network Adequacy Template. Download now.

Stay up-to-date on the latest network adequacy requirements and best practices for QHP certification. Explore our growing library of blogs, briefs, videos, and more!

Deliver on tomorrow's goals by planning today

We are committed to assisting our customers in their quest for accurate provider directories and adequate health networks that maintain appropriate access to care for your members.

Schedule a consultative session with one of our network management experts to discuss and determine your strategy.

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