Plan Year 1 (2014) QHP Application State Review Tools

The QHP Application Review Tools can be found in the attached zip files. The first zip file contains information regarding the review tools. The second zip file contains the review tools test data. As of May 7, 2013, the tools are still for state use only - they are not intended to be distributed to issuers. To download the tools, right-click on each link below, then choose "Save Target As".

Plan Year 1 (2014) QHP Application State Review Tools

QHP Application State Review Tools Data

Next, navigate to the location where you would like the tools saved and select "Save".

To extract the tools from the zip file, navigate to the location where you saved the zip file. Right-click on the file name and choose "WinZip", then select "Extract Here". This will extract all the files to the current location. Open the Master Review Tool.xlsm to see an overview of all of the review tools and how to use them.

The following .pdf files are helpful information for the review tools.

More Instructions for Preparing to use QHP Application State Review Tools

QHP Application State Review Tools Manual - Loading the Data

QHP Application State Review Tools Manual - Analyzing the Data

State QHP Application Review Tools Optional Refinement Guide

QHP Application State Review Tools Recorded Webinars

Name and link of recording

Summary

Source

SERFF user interface and Master Review Tool

https://webinar.cms.hhs.gov/p47052207/

This recording walks states through the process of logging into SERFF, downloading the QHP Application State Review Tools and issuer QHP applications, and loading data into the Master Review Tool.

Doug Saunders from CCIIO gave an introduction/overview of the QHP Application State Review Tools.

Lacey Seemann from the National Association of Insurance Commissioners (NAIC) demonstrated the SERFF website.

Rebecca Rosenbaum from LMI demonstrated the Master Review Tool; all content discussed came from the Master Review Tool (previously cleared).

Essential Community Provider Tool

https://webinar.cms.hhs.gov/p71675135/

This recording demonstrates how the ECP Tool works.

Doug Saunders from CCIIO gave an introduction/overview of the QHP Application State Review Tools.

LMI demonstrated the ECP Tool; all content discussed came from the ECP Tool (previously cleared).

Meaningful Difference Tool

https://webinar.cms.hhs.gov/p42688906/

This recording demonstrates how the Meaningful Difference Tool works.

Doug Saunders from CCIIO gave an introduction/overview of the QHP Application State Review Tools.

LMI demonstrated the Meaningful Difference Tool; all content discussed came from the Meaningful Difference Tool (previously cleared).

Non-Discrimination Tool

https://webinar.cms.hhs.gov/p78603498/

This recording demonstrates how the Non-Discrimination Tool works.

Doug Saunders from CCIIO gave an introduction/overview of the QHP Application State Review Tools.

LMI demonstrated the Non-Discrimination Tool; all content discussed came from the Non-Discrimination Tool (previously cleared).

Formulary Drug Tool

https://webinar.cms.hhs.gov/p37078345/

This recording demonstrates how the Formulary Drug Tool works.

Doug Saunders from CCIIO gave an introduction/overview of the QHP Application State Review Tools.

LMI demonstrated the Formulary Drug Tool; all content discussed came from the Formulary Drug Tool (previously cleared).

Cost Sharing Tool

https://webinar.cms.hhs.gov/p95619466/

This recording demonstrates how the Cost Sharing Tool works.

Doug Saunders from CCIIO gave an introduction/overview of the QHP Application State Review Tools.

LMI demonstrated the Cost Sharing Tool; all content discussed came from the Cost Sharing Tool (previously cleared).


Didn't find what you needed here?

The SERFF Help Desk is a great source of information.

Contact the SERFF Help Desk by calling 816-783-8500 or emailing serffhelp@naic.org.

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