Glossary Q-words SR 14-04 Dated 01/14  (MAM-A)

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Qualified Health Plan — Under the Affordable Care Act (ACA), a Qualified Health Plan is an insurance plan that is certified by the Federally Facilitated Marketplace (FFM), provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements. A qualified health plan will have a certification from the FFM where it is sold.

Questionable — A statement made by an individual which is inconsistent with other statements made by the individual, inconsistent with information provided for current or past requests for assistance, or inconsistent with information received by DHHS from other sources.