CAQH CORE uses an open, transparent process to draft its operating rules and any entity is welcome to join this process. Currently, over 120 entities, representing different stakeholder types, participate in CAQH CORE Operating Rules development. The CAQH CORE Operating Rules are developed in a phased approach that establishes milestones to encourage feasible progress in resolving industry business needs while minimizing barriers to implementation. The CAQH CORE Governing Procedures establish a multistage voting process for development and approval of the CAQH CORE Operating Rules.
Participation in CAQH CORE rule-making is open to any interested healthcare stakeholder, including health plans, providers, technology companies, government entities, trade associations, vendors, and standard-setting organizations. Please refer to the CAQH CORE Participation Application for information on how to become a CAQH CORE Participating Organization.
Only CAQH CORE Participating Organizations may directly vote on development of the CAQH CORE Operating Rules. Non-CAQH CORE Participating Entities can contribute at various stages of the process such as during public surveys asking for input, in response to Public CAQH CORE Town Hall calls or via the CMS process for comment on proposed operating rule regulations.