ACA Annual Filing Information
Welcome to Plan Year 2027
The Plan Year has kicked off as of February 12th, 2026 with the issuance of the PY27 External Timeline. All dates subject to change.
MHPAEA NQTLs - Regulation 4-2-64
NQTL Filing Instructions:
- NQTL Filing Instructions Filing Year 2026
- NQTL Comparative Analysis Six-Step Reporting Template Instructions and Guidance Filing Year 2026
- Comparative Analysis Guidance: Prior Authorization
- Comparative Analysis Guidance: Concurrent Review
- Comparative Analysis Guidance: Provider Reimbursement (Provider and Facility Reimbursement)
- Comparative Analysis Guidance: Network Development and Adequacy
- Comparative Analysis Guidance: Network Admission and Credentialing (Provider Credentialing)
NQTL Templates
- NQTL Identification and Classification (includes Medical Management) Template
- NQTL Verifications Template
- Utilization Review Template
- Out-of-Network and Gap Exception Utilization Data Template
- Provider Network Engagement and Availability Template
- Office Visit In-Network Allowed Rates Analysis Template
- Provider Credentialing Template
- Confidential Network Development Medicare Template
- ASAM Criteria Utilization Template
- Eating Disorder BMI/IBW Template
- Pharmacy Medical Management Template
- Colorado NQTL Comparative Analysis Six-Step Reporting Template
- Confidentiality Index
- NQTL Templates and Comparative Analysis Attestation
Gender Dysphoria Annual Filing
MAT Reporting (Regulation 4-2-75) - UPDATED 3.06.26
- 2026 CY25 Submission Reporting Instructions - 4-2-75 Medication Assisted Treatment- v2.27.26 - UPDATED 2.27.26
- 2026 CY25 4-2-75 Reporting Template - Medication-Assisted Treatment - v2.27.26 - UPDATED 2.27.26
- 2026 CY 2025 4-2-75 MAT Reporting Template and Instructions FAQs
- Technical Assistance Webinar - February 25, 2026
MHPAEA QTLs - Regulation 4-2-64
- Filing Instructions Non-CO Option QTLs Rev. 4.21.26
- CO Financial Requirement and Quantitative Treatment Limitation Classification Template
- Financial Requirements Attestation
Mental Health Parity and Addiction Equity Act (MHPAEA) Technical Training
- Mar 5, 2024 _ MHPAEA Carrier Town Hall Notes.pdf
- MHPAEA Carrier Town Hall - 03.05.24 (1).mp4
- MHPAEA Town Hall Slides March 2024.pdf
Annual MHPAEA Filings (Quantitative Treatment Limitations and Nonquantitative Treatment Limitations)
Binder Filing Instructions - Current Plan Year
SBC Filing Instructions - Current Plan Year
Templates
- Macro File Instructions
- 4-2-58 Formulary Compliance Template
- Pharmacy Benefit Managers
- Prescription Drug Formulary Attestation Form
- Colorado Issuer ECP Attestation Template - Fillable
- Colorado Silver Plan Crosswalk Template
- Colorado HIOS Plan ID Crosswalk Template
- Reinsurance Program Care Management Protocol Assessment
- URLs - Medical and Dental
- CO PBT Add-In
- Confidentiality Index
Premium Rate Reduction (CO Option)
- Plan Year 2027
- Premium Rate Reduction Filing Instructions (Updated 2/5/26)
- Premium Rate Reduction Filing Materials
- BY2027 Colorado Option Negotiated Rate Template
- BY2027 Material Provider Premium Impact Template
- BY2027 Maximum Allowable Reduction Template (revised)
- BY2027 Joint Attestation Template (Fillable)
- BY2027 Joint Attestation Template (Pediatric Hospitals) (Fillable)
- March 1 Colorado Option Network Adequacy Attestation Form
- 2027 Colorado Option Hospital-Specific Reimbursement Floors
- Premium Rate Reduction Notification Templates- Individual Market
- Premium Rate Reduction Notification Templates- Small Group Market
- BY2027 Final Summary Template
Forms
- Form Filing Instructions
- PY2027 Specific Coverages and or Exclusions List
- Uniform Applications
- English
- Spanish (Aplicaciones uniformes)
- Anexo de empleados de Connect for Health Colorado EN-003-02
- Anexo individual de Connect for Health Colorado EN-002-02
- Solicitud Uniforme de Empleados de Colorado Para Planes de Beneficios de Salud Para Grupos Pequeñs- Appendix A
- Solicitud Uniforme de Personas de Colorado Para Planes de Beneficios de Salud Principales (1.1MB)- Appendix B
Templates
- Wakely - DORA 2027 Standard Plans AV Certification
- PY27 Rate Change Summary Template
- PY27 Prescription Drug Estimated Rebate Template
- PY27 Premium Impact Analysis Template_for Rate Review
- PY27 Member Level Data Template
- PY27 IND SG 4-2-39 Template
- PY27 Colorado Option Network Impact Template
- PY27 CO Rate Manual Template.xlsx
- PY27 Carrier Checklist
- Confidentiality Index_fillable_accessible