Qualified Health Plan Certification
The Qualified Health Plan (QHP) Application is available to issuers applying for certification to participate in the Federally-facilitated Marketplaces (FFMs). Health plans, including dental, must meet a number of standards in order to be certified as QHPs. 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.
Issuers seeking QHP certification should review and submit a QHP Application and complete the certification process. QHP Application materials and guidance, including templates, instructions, tools, and FAQs, are located on the QHP certification website.
Quick Links:
- QHP Data Submission and Certification Timeline
- QHP Application Templates and Tools
- QHP Application Instructions
- QHP Certification Toolkits
- Data Change Windows
- Withdrawal Information
- FAQs
Contact Us
Issuers may also contact the Marketplace Service Desk (MSD) at CMS_FEPS@cms.hhs.gov or at 855-CMS-1515.