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Blueprint
Network Adequacy Platform

Built for every line of business.

Blueprint is purpose-built for CMS-regulated provider network builds. Select your LOB to see how Blueprint handles your state rules, specialty thresholds, and filing workflow.

MA

Medicare Advantage

The most competitive LOB in CMS adequacy.

  • HSD Reference File pre-loaded for your benefit year
  • Urban / suburban / rural time-distance thresholds automated
  • Star Ratings connection — adequacy gaps hurt scores
  • Works across all 50 states
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MC

Medicaid

State-specific rules, managed care compliance.

  • State plan amendment requirements tracked
  • LTSS and behavioral health specialty categories
  • Rural waiver documentation support
  • Multi-state portfolio management
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QHP

Exchange / QHP

SERFF filing prep and QHP network standards.

  • Essential community provider tracking
  • SERFF submission checklist built in
  • QHP tiered network management
  • Benefit year cycle aligned to OE
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D-SNP

D-SNP

Dual-eligible coordination and NCD alignment.

  • NCD-aligned specialty requirements
  • Dual-eligible provider type identification
  • Care coordination network standards
  • CMS D-SNP model of care compliance
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Multi-LOB plans

Managing more than one LOB?

Blueprint's multi-LOB command center lets you manage MA, Medicaid, Exchange, and D-SNP builds in one place — separate pipelines, shared provider roster, unified adequacy view.