This page is not a complete listing of all data submission requirements from Health and Dental Insurance Carriers. It has Details that have not been specified elsewhere.
Instructions on submitting data to Compliance and RHLD via secure FTP. Version 4.0.
Published: 3/10/2023
Instructions for preparing and submitting network adequacy artifacts through SERFF.
Published: 2/29/2024
Fillable PDF for requesting data changes for marketplace plans in SERFF (published 8/11/2020)
This template may be necessary for changes to Plans and Benefits, Rating Business Rules, and/or Service Area Templates in addition to the Change Request Form above. (Published 8/11/2020)
Data Template for submission of administrative and company data. (updated 3/17/2022)
Data Template for submission of network adequacy specialist/access statistics. (updated 2/29/2024)
Data Template for submission of justifications for distance network adequacy shortcomings. (updated 2/29/2024)
Data Template for submission of network adequacy provider-enrollee ratio statistics. (updated 2/29/2024)
Data Template for submission of providers not included in CMS ECP/NA template. (updated 2/29/2024)
File specifications for enrollment submissions to AHCD. (updated 9/12/2023)