OMB control number
Marketplace Quality Standards (CMS-10520)
OMB 0938-1249 ยท HHS/CMS.
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 2029-02-28 and is listed under ICR 202508-0938-006.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10520 Vendor Appeal Form | Form and Instruction |
| Form CMS-10520 Monitoring and appeals process for survey vendors | Form and Instruction |
| CMS-10520 - Supporting Statement - 30-day.docx | Supporting Statement A |
| CMS-10520 - Supporting Statement - 30-day.docx | Supporting Statement A |
 Patient safety reporting standards for QHP issuers |
Information collection |
| Reporting for the Enrollee Satisfaction Survey (ESS) |
Information collection |
| Implementation and reporting for the Quality Rating System (QRS) |
Information collection |
| Monitoring and appeals process for survey vendors |
Form and Instruction |
| Monitoring and appeals process for survey vendors |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202508-0938-006 | Revision of a currently approved collection | 2025-08-13 | ||
| 202206-0938-015 | Revision of a currently approved collection | 2022-06-15 | Approved with change | |
| 202005-0938-012 | No material or nonsubstantive change to a currently approved collection | 2020-05-27 | Approved without change | |
| 201906-0938-006 | Revision of a currently approved collection | 2019-06-27 | Approved without change | |
| 201603-0938-008 | Revision of a currently approved collection | 2016-03-10 | Approved with change | |
| 201409-0938-003 | New collection (Request for a new OMB Control Number) | 2014-09-05 | Approved without change | |
| 201406-0938-004 | New collection (Request for a new OMB Control Number) | 2014-06-24 | Comment filed on proposed rule |
OMB Details
Monitoring and appeals process for survey vendors
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| 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.