Data Collection Guidelines
Documents describing the QRS requirements, technical specifications, and the QRS measures are available below and in the Downloads section of this page. Answers to frequently asked questions related to QRS can be found at https://REGTAP.info under “FAQs” and “Library.”
The documents for 2019 include:
CMS has posted the Quality Rating System and Qualified Health Plan Enrollee Experience Survey: Technical Guidance for 2019 (PDF). QHP issuers certified to offer coverage through the Exchanges in 2019 are required to comply with QRS and QHP Enrollee Survey requirements as a condition of certification. QHP issuers with questions regarding the QRS or the QHP Enrollee Survey should contact the CMS Marketplace Service Desk (MSD) (CMS_FEPS@cms.hhs.gov) and reference the Marketplace Quality Initiatives or "MQI-QRS."
2019 Quality Rating System Measure Technical Specifications (PDF) - includes the measure specifications and guidelines for data collection for the 2019 QRS measure set.
Quality Rating System (QRS) Overview and Summary of Requirements for 2018 webinar slides – provide details related to the 2019 QRS timeline and requirements and highlight next steps for QHP issuers to comply with 2018 QRS and QHP Enrollee Survey requirements.
The 2018 Quality PUF for Plan Year 2019 can be found here (XLSX).
The 2017 Quality PUF for Plan Year 2018 can be found here (XLSX).
Note: Certain materials provided on this website may be subject to third party copyrights.