During the Middle Formative Period, social ranking became established in the Titicaca Basin. The changes are most evident in the settlement structure as some regional centers grew to become far larger than their neighbors and feature sunken courts, mounds, and specialized stone and ceramic traditions. Stanish(2003: 109-110)interprets these changes in terms of an ability of elites to mobilize labor beyond the household level.

The stylistic evidence suggests that during the Middle Formative the north and south Titicaca Basin were relatively separate spheres, with Qaluyu pottery in the north and fiber-tempered Chiripa ceramics in the south extending only as far north as the Ilave river. However, Chivay obsidian is encountered in both the North and South Basin. Christine Hastorf (2005: 75)suggests that by the end of this period (the Early Upper Formative) evidence of ethnic identity and ritual activity is supported by ritual architectural construction and non-local exchange goods. It is further inferred that "Plants such as coca ( Erythroxylumsp.), Anadenanthera ( A. colubrine, A. peregrine), and tobacco (Nicotiana rustica)surely would have been present in the Basin by this time, perhaps associated with snuff trays…"(Hastorf 2005: 75). An increase in long distance exchange is commonly found as part of a complex of features associated with ideological and social power during the Middle Formative in the region, and it appears that existing exchange routes, such as the one along the Western Cordillera connecting Chivay with Qillqatani, were increasingly routed towards the Titicaca Basin regional centers during this time.