Machine Readable Data
Machine Readable Data for Provider Network and Prescription Formulary Content for Federally-Facilitated Marketplace (FFM) Qualified Health Plans (QHP) As required by the Patient Protection and Affordable Care Act, for plan years beginning on or after January 1, 2016, Qualified Health Plan (QHP) issuers in the Federally-Facilitated Marketplace (FFM) are required to publish information regarding their provider directories and formulary drug lists on their website in a machine-readable format. This requirement increases and enhances consumer transparency by allowing software developers to access up-to-date, accurate and complete formulary and provider data needed to create innovative and informative tools. In accordance with this requirement, the following files are available for use:
Georgia
- Index data
- Medical provider data
- Plan data (PY 2024)
- Plan data (PY 2025)
- Prescription formulary data (PY 2024)
- Prescription formulary data (PY 2025)
CMS -Tennessee
- Index data
- Medical provider data
- Plan data (PY 2025)
- Prescription formulary data (PY 2025)
In October 2020, the Federal Government finalized the Transparency in Coverage rule intending to make healthcare pricing more accessible and understandable for consumers. As a result, Alliant Health Plans will publicly disclose pricing information for in-network rates and out-of-network allowed amounts via a Machine-Readable File (MRFs). We will also be providing a price transparency tool.
Click here to find our resources for Transparency in Coverage.
