Medica Administrative Manual  > Supplementary Contracting and Regulatory Requirements > Qualified Health Plan Requirements

Qualified Health Plan (QHP) Requirements

Under the Affordable Care Act (ACA) Program Integrity Rule, when Medica contracts with a provider to provide health care or administrative services to members who are covered by Qualified Health Plans (QHPs), there must include language in the contract that states that the provider will comply with certain requirements and standards.

Qualified Health Plan Requirements

Qualified Health Plan (QHP) Requirements for Indian Health Care Providers

Regulatory and contractual obligations for Indian health care providers providing health services to members of Qualified Health Plans.

Qualified Health Plan Requirements for Indian Health Care Providers