Data Collection Guideline
Documents describing the Quality Improvement Strategy (QIS) requirements and technical guidelines are available in the Downloads section at the bottom of this page. Answers to frequently asked questions related to QIS can be found on CCIIO’s Qualified Health Plan (QHP) Certification website under “FAQs” and “Quality Improvement Strategy FAQs.”
The documents for 2020 include:
2020 QIS Issuer List (XLSX)- includes issuers that meet the QIS participation criteria and are required to submit at least one QIS Implementation Plan and Progress Report form as part of their 2020 QHP applications to either: (a) implement a new QIS beginning no later than January 2020, or (b) provide a progress update on an existing QIS. The 2020 QIS Issuer List includes issuers operating in Federally-facilitated (FFEs) and FFEs where States perform plan management. Issuers operating in State-based Exchanges (SBEs), including SBEs on the Federal Platform (SBE-FPs), are not included on the list.
- QIS Technical Guidance and User Guide for the 2020 Plan Year (PDF) – specifies the 2020 QIS requirements for QHP issuers offering coverage through the Marketplaces.
- 2020 QIS Implementation Plan and Progress Report Form (PDF) – form that will be used by QHP issuers to either: (a) implement a new QIS, or (b) provide a progress update on an existing QIS (e.g., a QIS originally submitted for the 2018 or 2019 Plan Year).
QIS Issuer Training (PDF) -provides information about the QIS requirements and timeline, changes to the QIS form, how to avoid common errors, and the evaluation process.