Initial QHP Application Submission WindowĬMS Reviews Initial QHP Applications as of 6/21/17įinal Deadline for Issuer Changes to QHP ApplicationĬMS Reviews Final QHP Submissions as of 8/16/17ĬMS Sends Final Correction Notice to Issuers with Agreements for Signature and Plan Lists for Confirmation
Withdrawal Information - Opens in a new window. Data Correction Windows - Opens in a new window. QHP Submission Checklist - Opens in a new window. QHP Application Instructions - Opens in a new window. QHP Application Templates and Tools - Opens in a new window. The QHP Application, including templates, instructions, tools, and FAQs, is now located on the new QHP website - Opens in a new window. Issuers seeking QHP certification should review and submit the QHP Application and complete the certification process. As defined in the Affordable Care Act (ACA), a QHP is an insurance plan that is certified by the Health Insurance Marketplace, provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process. Health plans, including dental, must meet a number of standards in order to be certified as QHPs. The Qualified Health Plan (QHP) Application is available to issuers applying for certification to participate in the Federally-facilitated Marketplaces (FFMs). Medicare Provider Cost Report Public Use Files. Provider statistical & reimbursement report. Medicare fee for service for Parts A & B. Medicare Claims Synthetic Public Use Files (SynPUFs). Health Care Information System (HCIS) data file. Medicare Provider Utilization and Payment Data. Basic Stand Alone (BSA) Medicare Claims Public Use Files (PUFs). Unite health group catostropic plans download#
Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information Files for Download.Next Generation ACO Model (NGACO) Public Use Files.Medicare Advantage/Part D Contract and Enrollment Data.Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model Public Use Files.
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