Templates & Toolkits | Jan 12, 2013

Qualified Health Plan (QHP) Issuer Certification Checklist

Georgetown University Health Policy Institute – Mila Kofman, Katie Dunton and Sally McCarty

The Qualified Health Plan (QHP) Issuer Certification Checklist is a document developed by Georgetown University’s Health Policy Institute that insurance regulators (and/or Exchanges) can use or modify for use in reviewing applications filed by issuers for approval as QHP issuers. In addition to this PDF, the QHP Issuer Certification Checklist is also available in a fill-able Microsoft Word version for easy use and amendment by state regulators. Some QHP issuer certification elements in the checklist require a decision by the state to accept attestation by a carrier or to verify compliance directly through evidence that the requirements have been met. This checklist provides an outline for insurance regulators to ensure that issuers who seek to become QHP issuers are in compliance with Affordable Care Act requirements.


Expert Perspectives

September 26, 2023

CMS Finalizes Medicaid Rule to Streamline Enrollment into Medicare Savings Programs

This expert perspective provides a high-level overview of key provisions included in the “Streamlining Medicaid; Medicare Savings Program Eligibility Determination and Enrollment” final rule that will facilitate enrollment and retention of Medicare Savings Program (MSP) coverage. MSPs are state-run programs that help low-income Medicare enrollees pay their Medicare premiums and/or cost-sharing. While the final rule’s effective date is November 17, 2023, CMS delayed compliance dates for most provisions until April 1, 2026, to reflect states’ competing priorities in light of the “unwinding” of the Medicaid continuous coverage requirement.

Government Shutdown Implications for Health Programs and Personnel

As congressional negotiations continue to stall on fiscal year 2024 appropriations, federal agencies are deep into contingency planning for a potential government shutdown beginning October 1. Decisions are still being made about which federal activities and personnel are considered essential. This expert perspective describes the plans currently available from the Department of Health and Human Services and the implications for health programs and personnel.