Market Place Downloads

Plan Year 2026 Downloads

• 2025 QRS and QHP Enrollee Survey Operational Instructions (PDF)
• QRS and QHP Enrollee Experience Survey Technical Guidance for 2025 (PDF)
• 2025 Quality Rating System Measure Technical Specifications (PDF)

Plan Year 2025 Downloads

• Quality Rating System and Qualified Health Plan Enrollee Survey Technical Guidance for 2024 (PDF)
• 2024 Quality Rating System Measure Technical Specifications (PDF)
• Final QIS Issuer List for the 2025 Plan Year (XLSX)
• QIS Technical Guidance and User Guide for the 2025 Plan Year (PDF)
• QIS Implementation Plan form for the 2025 Plan Year (PDF) 
• QIS Progress Report form for the 2025 Plan Year (PDF)
• QIS Modification Summary Supplement for the 2025 Plan Year (PDF)
• Quality Rating Information Bulletin for the 2025 Plan Year (PDF)

QRS and QHP Enrollee Survey Downloads

• QHP Enrollee Experience Survey Technical Specifications for 2025 (PDF)
• 2025 Quality Rating System (QRS) and Qualified Health Plan (QHP) Enrollee Experience Survey Requirements
• Health Insurance Exchange Quality Rating System (QRS) 101 (PDF)

QIS Downloads

• QIS Issuer List for the 2025 Plan Year (XLSX)
• QIS Implementation Plan form for the 2025 Plan Year (PDF) 
• QIS Progress Report form for the 2025 Plan Year (PDF)
• QIS Modification Summary Supplement for the 2025 Plan Year (PDF)
• QIS Technical Guidance and User Guide for the 2025 Plan Year (PDF)

Public Use Files (PUFs)

• The Enrollee Survey PUF for Plan Year 2025 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for the Plan Year 2025 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Enrollee Survey PUF for Plan Year 2024 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for the Plan Year 2024 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Enrollee Survey PUF for Plan Year 2023 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for Plan Year 2023 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Enrollee Survey PUF for Plan Year 2022 can be found here: Enrollee Survey PUF (ZIP)
• The Quality Data PUFs for Plan Year 2022 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Quality Data PUFs for Plan Year 2021 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Quality Data PUFs for Plan Year 2020 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (ZIP)
• The Quality Data PUFs for Plan Year 2019 can be found here: Nationwide QRS PUF (ZIP) & Quality PUF (XLSX)
• The Quality Data PUF for Plan Year 2018 can be found here: Quality PUF (XLSX)

Refinements to Marketplace Quality Initiatives

CMS routinely refines its Marketplace Quality Initiatives, including the Quality Rating System (QRS), Quality Improvement Strategy (QIS), and Qualified Health Plan (QHP) Enrollee Experience Survey. Documents outlining refinements to these programs and initiatives are included below.

• Final 2024 Call Letter for the Quality Rating System and the Qualified Health Plan Enrollee Experience Survey (PDF)
• Final 2023 Call Letter for the Quality Rating System and the Qualified Health Plan Enrollee Experience Survey (PDF)
• Final 2022 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2021 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2020 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• COVID-19 Marketplace Quality Initiatives Memo (PDF)
• Quality Rating System (QRS), Qualified Health Plan (QHP) Enrollee Experience Survey, and Quality Improvement Strategy (QIS) FAQs in Response to the Coronavirus (COVID-19) Pandemic (PDF)
• Final 2019 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2018 Call Letter for the Quality Rating System and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2017 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)
• Final 2016 Call Letter for the Quality Rating System and the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) (PDF)

Marketplace Service Help Desk (MSD) (reference “Marketplace Quality Initiatives”)

QHP issuers and Exchanges with questions regarding the QRS, QIS, historical information, or the QHP Enrollee Survey should contact the MSD
CMS_FEPS@cms.hhs.gov or 1-855-CMS-1515 (1-855-267-1515)

Data Collection Guidelines

• Documents describing the Quality Improvement Strategy (QIS) requirements and technical guidelines are available in the Downloads section at the top of this page. Answers to frequently asked questions related to QIS can be found on CCIIO’s Qualified Health Plan (QHP) Certification website under “FAQs” and “Marketplace Quality Initiatives FAQs” --> “Quality Improvement Strategy.”
• CMS has posted the QIS Issuer List for the 2025 Plan Year (XLSX).