Qualified Health Plans Solicitation
In January 2013, bids from health issuers proposing to sell Qualified Health Plans through the Exchange will be due to the Exchange. This QHP solicitation is the FINAL release of the information that the Exchange will be requesting from QHP bidders in order for the Exchange to make the final selections of which QHPs will be offered to the public in which geographic areas in California. Bidder responses are due January 23, 2013 by 5:00 PM PST. The Standardized Benefit Plan design will be posted upon finalization.
Final Release QHP Solicitation - Updated 12-28-2012
Appendix I - Addendum 1 Appendix II - Addendum 1 Appendix II - Addendum 2
Appendix I - Addendum 1
Appendix II - Addendum 1
Appendix II - Addendum 2
NEW: Final Staff Recommendation for Qualified Health Plan Model Contract for 2014 between Contractor and Covered California, The California Health Benefit Exchange - May 6, 2013
NEW: QHP Model Contract - CLEAN NEW: QHP Model Contract - REDLINE NEW: QHP Model Contract Attachments - CLEAN NEW: QHP Model Contract Attachments - REDLINE
NEW: QHP Model Contract - CLEAN
NEW: QHP Model Contract - REDLINE
NEW: QHP Model Contract Attachments - CLEAN
NEW: QHP Model Contract Attachments - REDLINE
QHP Model Contract New Provisions and Policies Ready for Comments from Stakeholder
Slide Presentation with v4 Model Contract updates
Redline of v4 QHP Model Contract
Clean version v4 QHP Model Contract
Redline of Attachments to Model Contract v4
Clean version of Attachments to Model Contract
CAHP Redline of QHP Model Contract
Second Draft Qualified Health Plan Model Contract (posted 4/4/13)
Second Draft Model Contract Intro Redline of Attachments to QHP Model Contract Second Draft Model Contract Attachments Reference Crosswalk
Second Draft Model Contract Intro
Redline of Attachments to QHP Model Contract
Second Draft Model Contract Attachments
Reference Crosswalk
Final Benefit Plan Designs as of March 14, 2013
AV Calculator Inputs
Bidders' Library:
130510 1600 Open Issue Tracker 130510 1511 Carrier Testing Schudule Technical Call Schedule 130510 Updated 130506 IDD Enrollment Discrepancy Report V1.0 Updated 130506 IDD Enrollment Discrepancy Report Template V1.1 EDI 834 Companion Guide, Version 1.5 DRAFT Provider Directory Implementation Guide V1.5 Essential Community Providers DRAFT Plan Benefit and Rate Implementation Guide Technical Guide for States to Access HIOS and the USP Category Class Count Service Proposal Tech Training for Bidders (Webinar Recording)
130510 1600 Open Issue Tracker
130510 1511 Carrier Testing Schudule
Technical Call Schedule 130510
Updated 130506 IDD Enrollment Discrepancy Report V1.0
Updated 130506 IDD Enrollment Discrepancy Report Template V1.1
EDI 834 Companion Guide, Version 1.5
DRAFT Provider Directory Implementation Guide V1.5
Essential Community Providers
DRAFT Plan Benefit and Rate Implementation Guide
Technical Guide for States to Access HIOS and the USP Category Class Count Service
Proposal Tech Training for Bidders (Webinar Recording)