Plan Year 2027 Downloads

QRS Downloads

• QRS and QHP Enrollee Experience Survey Technical Guidance for 2026 (PDF)
• 2026 Quality Rating System Measure Technical Specifications (PDF)
• 2026 QRS and QHP Enrollee Survey Operational Instructions (PDF)

QIS Downloads

• QIS materials for Plan Year 2027 will be posted in the spring of 2026. 
   

Plan Year 2026 Downloads

QRS Downloads

• 2025 QRS and QHP Enrollee Survey Operational Instructions (PDF)
• QRS and QHP Enrollee Experience Survey Technical Guidance for 2025 (PDF)
• 2025 Quality Rating System Measure Technical Specifications (PDF)
• Quality Rating Information Bulletin for the 2026 Plan Year (PDF)

QIS Downloads

• Final QIS Issuer List for the 2026 Plan Year (XLSX)
• QIS Technical Guidance and User Guide for the 2026 Plan Year (PDF)
• QIS Implementation Plan form for the 2026 Plan Year (PDF)
• QIS Progress Report form for the 2026 Plan Year (PDF)
• QIS Modification Summary Supplement form for the 2026 Plan Year (PDF)

QRS and QHP Enrollee Survey Downloads

• QHP Enrollee Survey Technical Specifications for 2026 (PDF)
• Health Insurance Exchange Quality Rating System (QRS) 101 (PDF)

QIS Downloads

• Final QIS Issuer List for the 2026 Plan Year (XLSX)
• QIS Technical Guidance and User Guide for the 2026 Plan Year (PDF)
• QIS Implementation Plan form for the 2026 Plan Year (PDF)
• QIS Progress Report form for the 2026 Plan Year (PDF)
• QIS Modification Summary Supplement form for the 2026 Plan Year (PDF)

Public Use Files (PUFs)

• The Enrollee Survey PUF for Plan Year 2026 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for the Plan Year 2026 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Enrollee Survey PUF for Plan Year 2025 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for the Plan Year 2025 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Enrollee Survey PUF for Plan Year 2024 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for the Plan Year 2024 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Enrollee Survey PUF for Plan Year 2023 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for Plan Year 2023 can be found here: Nationwide QRS PUF (ZIP) (ZIP) & Quality PUF (ZIP) (ZIP)
• The Enrollee Survey PUF for Plan Year 2022 can be found here: Enrollee Survey PUF (ZIP) (ZIP)
• The Quality Data PUFs for Plan Year 2022 can be found here: Nationwide QRS PUF (ZIP) (ZIP) & Quality PUF (ZIP) (ZIP)
• The Quality Data PUFs for Plan Year 2021 can be found here: Nationwide QRS PUF (ZIP) (ZIP) & Quality PUF (ZIP) (ZIP)
• The Quality Data PUFs for Plan Year 2020 can be found here: Nationwide QRS PUF (ZIP) (ZIP) & Quality PUF (ZIP) (ZIP)
• The Quality Data PUFs for Plan Year 2019 can be found here: Nationwide QRS PUF (ZIP) (ZIP) & Quality PUF (XLSX) (XLSX)
• The Quality Data PUF for Plan Year 2018 can be found here: Quality PUF (XLSX) (XLSX)

Refinements to Marketplace Quality Initiatives

CMS routinely refines its Marketplace Quality Initiatives, including the Quality Rating System (QRS), Quality Improvement Strategy (QIS), and Qualified Health Plan (QHP) Enrollee Experience Survey. Documents outlining refinements to these programs and initiatives are included below.

• Final 2025 Call Letter for the Quality Rating System and the Qualified Health Plan Enrollee Experience Survey (PDF)
• Final 2024 Call Letter for the Quality Rating System and the Qualified Health Plan Enrollee Experience Survey (PDF)
• Final 2023 Call Letter for the Quality Rating System and the Qualified Health Plan Enrollee Experience Survey (PDF)
• Final 2022 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2021 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2020 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• COVID-19 Marketplace Quality Initiatives Memo (PDF)
• Quality Rating System (QRS), Qualified Health Plan (QHP) Enrollee Experience Survey, and Quality Improvement Strategy (QIS) FAQs in Response to the Coronavirus (COVID-19) Pandemic (PDF)
• Final 2019 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2018 Call Letter for the Quality Rating System and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2017 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2016 Call Letter for the Quality Rating System and the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)

Marketplace Service Help Desk (MSD)

QHP issuers and Exchanges with questions regarding the QRS, QIS, historical information, or the QHP Enrollee Survey should contact the MSD
CMS_FEPS@cms.hhs.gov or 1-855-CMS-1515 (1-855-267-1515) and reference “Marketplace Quality Initiatives”.