#### Updated to include the additional Network Adequacy and Provider Validation Requirements announced by CMS in May 2025.

# Policy Brief on the Final HHS Notice of Benefit and Payment Parameters for 2026

## Discover the latest Network Adequacy and Provider Directory Accuracy Requirements for Health Issuers on the Federal and State Exchanges

### What's Inside the Policy Brief

#### Updates for the Federally-facilitated Exchanges

- New Network Adequacy Geographic Distance Methodology
- Alternative Time and Distance Standards Introduced
- Three Additional Provider Specialty Types Added to the Network Adequacy Template
- New & Updated Provider Validations
- Provider Directory Accuracy Requirements
- Key QHP Application Dates for Data Submission and Certification

#### Updates for the State-based Exchanges and State-based Exchanges on the Federal Platform (SBE-FPs)

- Key Changes to State Requirements for Network Adequacy and QHP Certification

#### Download Our Policy Brief Now

Download our policy brief to stay informed and prepared for the latest Network Adequacy Standards and Provider Directory Accuracy Requirements.

### Quest Enterprise Services® (QES®) for QHP Certification

Compliance isn’t our name, but it sure is our game! Learn how we can assist your efforts to make your provider data accurate and network adequate. Book a complimentary strategy session with a Quest Analytics expert to get started on your quest for success.

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