Marketplace Quality Standards (CMS-10520)

OMB 0938-1249

Section 1311(c)(3) of the Affordable Care Act directs the Secretary to develop a system to rate QHPs on the basis of quality and price and requires Exchanges to display this quality rating information on their respective websites. Section 1311(c)(4) of the Affordable Care Act requires the Secretary to develop an enrollee satisfaction survey (ESS) system to assess enrollee experience with each QHP (with more than 500 enrollees in the previous year) offered through an Exchange. Section 1311(h) requires QHPs to contract with certain hospitals that meet specific patient safety and health care quality standards beginning January 1, 2015. CMS is requesting approval for information collection associated with these related Marketplace quality standards.

The latest form for Marketplace Quality Standards (CMS-10520) expires 2022-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10520 Monitoring and appeals process for survey vendors Form and Instruction
CMS-10520 - Quality Standards_Supporting Statementdocx.docx Supporting Statement A
Patient safety reporting standards for QHP issuers
Reporting for the Enrollee Satisfaction Survey (ESS)
Implementation and reporting for the Quality Rating System (QRS)
Monitoring and appeals process for survey vendors Form and Instruction

All Historical Document Collections

202206-0938-015 Approved with change	Revision of a currently approved collection	2022-06-15
202005-0938-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-05-27
201906-0938-006 Approved without change	Revision of a currently approved collection	2019-06-27
201603-0938-008 Approved with change	Revision of a currently approved collection	2016-03-10
201409-0938-003 Approved without change	New collection (Request for a new OMB Control Number)	2014-09-05
201406-0938-004 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2014-06-24

OMB Details

Monitoring and appeals process for survey vendors

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-10520

Vendor Appeal Form

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.