QHP Network and Formulary - Developer Documentation

Information Collection for Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs (CMS-10558)

OMB: 0938-1284

IC ID: 217257

Documents and Forms

Document Name Document Type
Form CMS-10558 QHP Network and Formulary - Developer Documentation Form and Instruction
CMS-10558 Schema Screenshots CMS-10558_Machine_Readable_Appendix_A_Schema_Screenshots_508_09.29.23.pdf Form and Instruction
CMS-10558_Machine_Readable_Appendix_B_Issuer_Details_MPMS_Screenshots_508_10.04.23.pdf Appendix B IC Document