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.

Standard Benefit Plan Designs for 2014

Final Model Contract and Final Attachments for 2014 - (July 3, 2013 edition)

• QHP Model Contract - Final
• QHP Model Contract Attachments - Final

Final Model Contract for 2014 and DRAFT Attachment 14 Performance Standards - (May 23, 2013 edition)

• QHP Model Contract - CLEAN
• QHP Model Contract - REDLINE
• QHP Model Contract Attachments - CLEAN
• QHP Model Contract Attachments - REDLINE
• Attachment 14 - REDLINE14

Final Release QHP Solicitation - Updated 12-28-2012

• Appendix I - Addendum 1
• Appendix II - Addendum 1
• Appendix II - Addendum 2

Final Staff Recommendation for Qualified Health Plan Model Contract for 2014 between Contractor and Covered California, The California Health Benefit Exchange - May 6, 2013

• QHP Model Contract - CLEAN
• QHP Model Contract - REDLINE
• QHP Model Contract Attachments - CLEAN
• 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

• Second Draft Model Contract Intro
• Redline of Attachments to QHP Model Contract
• Second Draft Model Contract Attachments
• Reference Crosswalk

AV Calculator Inputs

Bidders' Library:

• Technical Schedule 130802 (download)
• Portal User Manual
• NIC 1-pager information with a point of contact at the bottom
• Test scripts See TAB 2R AND 3R for the certification test scripts
• Certification Test schedule
• Technical Questions Tracking Log (9/6/2013)
• Non-Technical Questions Tracking Log (9/6/2013)
• Closed Issue Tracker as of 08-09-2013
  • New answers are in yellow on the first tab and will be moved to closed in the next update.
  • A yymmdd date-time-group is now being used in each answer block to identify the date it was answered.
• Taxonomy code listing
• FINAL Trading Partner Agreement 7/15/2013
• FINAL Provider Directory Implimentation Guide v1.8
• 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)