Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Minimum Acceptable Risk Standards for Exchanges (MARS-E) 2.0

Guidance for : This Informational Bulletin is intended to introduce the publication of the MARS-E 2.0 suite of documents which replaces the MARS-E 1.0 document suite, published in August 2012. The information in the MARS-E document suite addresses the mandates of the Patient Protection and Affordable Care Act of 2010 and the Department of Health and Human Services (HHS)

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 23, 2015

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.