Lushnja and Elbasani were directly relegated to the Kategoria e Parë after finishing 11th and 12th in the previous year's standings.
They were replaced by Kategoria e Parë champions Laçi and runners-up Skënderbeu.
9th placed Bylis and 10th placed Partizani had to compete in single-match relegation play-offs.
During the first two rounds, each team plays each other once home and away for a total of 22 matches.
Source: Soccerway Note: Flags indicate national team as defined under FIFA eligibility rules; some limited exceptions apply.