Updated: Includes the additional Network Adequacy and Provider Validation Requirements announced by CMS in May 2025.
Achieve Your QHP Certification
Best Practices for a Successful QHP Application
Getting your Qualified Health Plan (QHP) certified for plan year 2026 (PY2026) requires meeting new standards introduced by CMS. This year, it’s especially important to pay attention to the updates in the Network Adequacy Template and revised Provider Validations. If you’re aiming to participate in the Health Insurance Marketplace® or your State Exchange, ensuring your application is accurate and complete is key to moving forward smoothly.
We’ve put together an executive summary to help you better understand these updates and guide you in preparing your application the right way.
What’s Inside:
- Network Adequacy Template Updates
- New and Updated Provider Validations
Download Your Executive Summary Now to stay informed and position your application for success.
Quest Enterprise Services® (QES®) for QHP Certification
Compliance isn’t our name, but it sure is our game! Learn how we can assist your efforts to make your provider data accurate and network adequate. Book a complimentary strategy session with a Quest Analytics expert to get started on your quest for success.
