CMSgov / price-transparency-guide

# Transparency in Coverage
This is the technical implementation guide for the machine readable files as required by the Transparency in Coverage final rules (85 FR 72158). 
If you are looking for the technical implementation guide for the machine readable files required by the Hospital Price Transparency final rules (45 CFR 180), please go to https://github.com/CMSgov/hospital-price-transparency.
Overview
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This repository contains a set of schemas describing a data format (example implementations are encoded as JSON and XML) for the Transparency in Coverage final rule.
All machine-readable files must conform to a non-proprietary, open standards format that is platform independent and made available to the public without restrictions that would impede the re-use of that information.
**Consistent with the Departments’ August 20, 2021 guidance (see below “Guidance” section), the Departments have not promulgated any final guidance with respect to the form and manner for the Prescription Drug File.**
**Any material currently or previously published on this site with respect to the form and manner of the Prescription Drug File has been superseded and is not guidance of the Departments.**
Background
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The Departments of the Treasury, Labor, and Health and Human Services (the Departments) have issued the Transparency in Coverage final rules (85 FR 72158) on November 12, 2020. The final rules require non-grandfathered group health plans and health insurance issuers in the individual and group markets (plans and issuers) to disclose certain pricing information. Under the final rules a plan or issuer must disclose in-network negotiated rates, and billed and out-of-network allowed through two machine-readable files posted on an internet website.
Plans and issuers are required to make these files public for plan or policy years beginning on or after July 1, 2022.
Keeping Up To Date
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Github allows for people to track and keep up-to-date with any changes for any repository. If you wish to follow and track the changes that happen on this repo, please leverage the "Watch" feature found at the top of the repository and select "All activity". This will email the user that has "watched" the specific repository.
Guidance
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Transparency in Coverage rule guidance is released on CMS' website. You can find recently released guidance here:
* https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs#Affordable_Care_Act
* https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/FAQs-Part-49.pdf
* https://www.cms.gov/sites/default/files/2022-04/FAQ-Affordable-Care-Act-Implementation-Part-53.pdf
* https://www.cms.gov/files/document/faqs-about-affordable-care-act-implementation-part-61.pdf
* https://www.cms.gov/files/document/aca-faqs-part-70.pdf
Developer Documentation
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Transport mechanism - HTTPS
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All machine-readable files must be made available via HTTPS.
Content type - Non-