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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 

 

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

 

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

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)