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Click 'Get Form' to open the QIS Implementation Plan and Progress Report Form in the editor.
Begin with Part A, selecting the appropriate QIS Submission Type. Ensure you understand whether you are submitting a new, discontinuing, or continuing QIS.
Complete the Background Information Section (Parts A, B, and C). Fill in all required fields such as Issuer Legal Name and QIS Primary Contact details.
In Part D, provide a concise title and description for your QIS. Clearly outline your goals and ensure they align with the selected market-based incentive types.
Proceed to Part E to detail the specific requirements of your QIS. Select applicable market-based incentives and describe how they will be implemented.
Finally, review all sections for accuracy before submitting. Utilize our platform's features to save your progress or make edits as needed.
Start filling out your QIS Implementation Plan today for free using our platform!
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All newly-eligible QIS issuers will submit an Implementation Plan form. by phone at 1-855-CMS-1515 (1-855-267-1515) or by email at CMSFEPS@cms.hhs.gov.
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