Plan Management & Delivery Systems Reform

October 10, 2017: Dental Technical Workgroup Meeting and Webinar


October 2, 2017: Plan Management Advisory Group Meeting and Webinar


August 23, 2017: Dental Technical Workgroup Meeting and Webinar


August 10, 2017: Plan Management Advisory Meeting


July 20, 2017: Plan Management Advisory Meeting


June 8, 2017: Plan Management Advisory Meeting


May 11, 2017: Plan Management Advisory Meeting


March 2, 2017: Plan Management Advisory Meeting


January 19th 2017: Plan Management Advisory Meeting


January 12, 2017: Dental Technical Workgroup Meeting and Webinar


December 22: Draft 2018 QHP/QDP Certification Applications

Please note, Covered California has extended the comment deadline to close of business Friday January 13, 2017. Please use the comment template and submit to Taylor Priestley at taylor.priestley@covered.ca.gov. Please note, Applicants will ultimately complete applications electronically and questions will populate dynamically based on Applicant type (current QHP/QDP Issuer or New Entrant Applicant) as indicated in application documents.


December 8, 2016: Plan Management Advisory Group Meeting and Webinar

Please send additional comments on the 2018 Benefit Design topic to Allie.Mangiaracino@covered.ca.gov by December 31, 2016.


December 1, 2016: Dental Technical Workgroup Meeting and Webinar


November 14, 2016: Dental Technical Workgroup Meeting and Webinar


November 10, 2016: Plan Management Advisory Group


October 20, 2016: Plan Management Advisory Group Meeting and Webinar


September 8, 2016: Plan Management Advisory Group Meeting and Webinar


August 30, 2016: Covered California's Consolidated Essential Community Provider List

Please refer  any questions to ahmed.al-dulaimi@covered.ca.gov noting “ECP 2016” in the subject line.


August 11th, 2016 Plan Management Advisory Group Meeting


Appendix 2 to Attachment 7 – Measurement Specifications

Covered California has finalized Appendix 2 to Attachment 7 and will convene a technical workgroup to discuss implementation.

UPDATE 7/15/16: Covered California will be revising this document to reflect changes to the reporting timeline and will release an updated version in the coming weeks.


June 13th, 2016: Plan Management Advisory Group Meeting


Appendix 2 to Attachment 7 – Measurement Specifications: Comment period open through May 18th at 5 p.m.

Covered California is accepting comments on the near-final draft of Appendix 2 to Attachment 7 – Measurement Specifications. Please submit all final questions and comments to Allie Mangiaracino at allie.mangiaracino@covered.ca.gov and Lindsay Petersen at lindsay.petersen@covered.ca.gov by Wednesday, May 18th at 5 p.m.


May 10, 2016, 9 a.m. – 10:15a.m. Promoting Effective Care Models: Covered California’s Initiative to Advance Primary Care

Covered California is convening this stakeholder meeting to discuss the approach for defining advanced primary care and identifying payment strategies to support accessible, data-driven, team-based care with accountability for meeting the goals of the triple aim


April 28, 2016, 10 a.m. – 12 noon: Covered California 2017 Quality Initiatives Metrics and Specifications Workgroup

Please submit action items, measurement specifications suggestions, and proposed agenda items to Allie Mangiaracino at allie.mangiaracino@covered.ca.gov and Lindsay Petersen at lindsay.petersen@covered.ca.gov by Monday, April 25th at 9 a.m.


April 14, 2016: Covered California 2017 Quality Initiatives Metrics and Specifications Workgroup

Please submit action items, measurement specifications suggestions, and proposed agenda items to Allie Mangiaracino at allie.mangiaracino@covered.ca.gov and Lindsay Petersen at lindsay.petersen@covered.ca.gov by Thursday, April 7th at 9 a.m.


March 29th, 2016: Plan Management Advisory Group Meeting


March 22, 2016: Covered California 2017 Quality Initiatives Metrics and Specifications Workgroup

Please submit comments using the “2017-2019 Comment Template” on the revised Appendix 2 to Attachment 7: Measurement Specifications to Allie Mangiaracino at allie.mangiaracino@covered.ca.gov and Lindsay Petersen at lindsay.petersen@covered.ca.gov by Wednesday, March 16th at 9 a.m. We will use these comments to set the agenda of discussion items for the workgroup meeting on March 22, 2016.


Qualified Health Plan Certification Application For Plan Year 2017 Covered California for Small Business

Covered California will accept Letters of Intent to Apply until 4:59pm PST April 15, 2016. Interested applicants must use template provided. Letters of Intent are nonbinding, but are required to obtain access to the electronic application submission portal.


March 17, 2016: Attachments to 2017-2019 Draft QDP Issuer Contract

Please submit comments for all Attachments to Val Shipman at Valerie.shipman@covered.ca.gov by Monday, March 28, 2016.


March 15, 2016:  2017-2019 Draft QDP Issuer Model Contract

Please submit comments to Val Shipman at Valerie.shipman@covered.ca.gov by Thursday, March 24, 2016.


Attachment 7: Quality, Network Management and Delivery System Standards – Final Draft Recommendation 3-4-2016

Attachment 7: Quality, Network Management and Delivery System Standards – Final Draft Recommendation 3-4-2016_ Redline from 2-18-2016

The versions of Attachment 7 above will be discussed at the March 29th Plan Management Advisory Meeting from 1- 3 PM.”


Please submit comments using the “2017-2019 Comment Template” on the revised Attachment 7 and Attachment 14 to Allison Mangiaracino at allie.mangiaracino@covered.ca.gov and Lindsay Petersen at lindsay.petersen@covered.ca.gov by Monday, February 29th at 9am.


February 11th, 2016: Plan Management Advisory Group Meeting

Please submit comments using the “2017-2019 Comment Template” on the revised Attachment 7 and Attachment 14 to Allison Mangiaracino at allie.mangiaracino@covered.ca.gov and Lindsay Petersen at lindsay.petersen@covered.ca.gov by Tuesday, February 16th at 9am.


Qualified Dental Plan Certification Application for Plan Year 2017 Covered California for Small Business

Please submit comments on draft application and materials to Taylor Priestley at taylor.priestley@covered.ca.gov by Tuesday February 16, 2016.


Qualified Dental Plan Certification Application for Plan Year 2017 Individual Marketplace

Please submit comments on draft application and materials to Taylor Priestley at taylor.priestley@covered.ca.gov by Friday February 12, 2016.


Qualified Health Plan Certification Application for Plan Year 2017 Covered California for Small Business

Please submit comments on draft application and materials to Taylor Priestley at taylor.priestley@covered.ca.gov by Wednesday February 10, 2016.


January 26, 2016: 2017-2019 Draft QHP Issuer Model Contract


Please submit comments to Elise Dickenson at Elise.Dickenson@covered.ca.gov by Thursday, February 4th.

Please submit comments on Appendix 2 to Attachment 7: Measurement Specifications to Allison Mangiaracino at allie.mangiaracino@covered.ca.gov by Tuesday, February 16th.


January 21, 2016: Covered California Draft Qualified Health Plan Certification Application For Plan Year 2017


Please submit comments on draft application and materials to Taylor Priestley at taylor.priestley@covered.ca.gov by Thursday February 4, 2016 (please note new date).


January 14, 2016: Plan Management Advisory Meeting


January 7, 2016: Dental Technical Workgroup


December 8, 2015: Dental Technical Workgroup


November 12, 2015: Plan Management Advisory Meeting


November 5, 2015: Dental Technical Workgroup


October 29, 2015: Dental Technical Workgroup

  • This meeting has been cancelled


October 15, 2015: Plan Management Advisory Meeting


September 23, 2015: Dental Technical Workgroup


September 17, 2015: Plan Management Advisory Meeting


August 13, 2015: Plan Management Advisory Meeting


July 23, 2015: Plan Management Advisory Group Meeting and Webinar


June 29, 2015: Dental Technical Workgroup


May 14, 2015: Plan Management and Delivery System Reform Advisory Group


April 28, 2015: Dental Technical Workgroup


April 9, 2015: Plan Management and Delivery System Reform Advisory Group


February 26, 2015: Plan Management and Delivery System Reform Advisory Group

January 13, 2015: Plan Management and Delivery System Reform Advisory Group


December 22, 2014: Review of 2016 QHP New Entrant Certification Application


December 16, 2014: Review of 2016 QHP & QDP Recertification Draft Application


December 9, 2014 : Plan Management Advisory Committee


November 6, 2014 : Plan Management Advisory Committee


October 16, 2014 : Dental Ad Hoc Advisory Group Meeting


September 12, 2014 : Plan Management Advisory Group Meeting


August 15, 2014 : Plan Management Committee Advisory Meeting


August 14, 2014 : Dental Ad Hoc Advisory Group Meeting


June 6, 2014 : Dental Ad Hoc Advisory Group Meeting


June 5, 2014 : Plan Management Advisory Group Meeting


April 15, 2014 : Special Enrollment Ad Hoc Work Group Meeting


April 9, 2014 : Dental Ad Hoc Advisory Group Meeting


April 1, 2014 : Plan Management Advisory Group Meeting


March 12, 2014 : Dental Ad Hoc Advisory Group Meeting


March 4, 2014 : Plan Management Advisory Group Meeting


February 7, 2014 : Dental Ad Hoc Advisory Group Meeting


February 4, 2014: Plan Management Advisory Group Meeting


January 15, 2014: Dental Ad Hoc Advisory Group Meeting


January 7, 2014: Plan Management Advisory Group Meeting


December 10, 2013: Dental Ad Hoc Advisory Group Meeting


November 15, 2013: Plan Management and Delivery System Reform Advisory Group Webinar


November 13, 2013: Dental Ad Hoc Advisory Group Meeting


October 29, 2013: Plan Management and Delivery System Reform Advisory Group Webinar


September 11, 2013: Plan Management and Delivery System Reform Advisory Group Webinar


August 20, 2013: Plan Management Advisory Group Webinar on Pediatric Dental


August 6, 2013: Plan Management and Delivery System Reform Advisory Group Webinar

Tuesday, August 6, 2013, from 1:00 pm to 2:30 pm.

Webinar Recording

Slide deck for Webinar

Slide deck for Pediatric Dental Update

Agenda

Memo: Covered California's Quality Rating System

Certified Plan-Based Enrollment Guidelines (Draft)

Presentation - Plan-Based Enrollment


July 22, 2013: Plan Management and Delivery System Reform Advisory Group Webinar

We will be discussing and asking for feedback on the Quality Rating System methodology, pediatric dental policy, and plan based enrollers. You may attend in-person or via webinar.


Monday, July 22, 2013, from 1:00 pm to 3:00 pm

The meeting will be held at Covered California, 560 J Street, Suite 290 in the Yosemite and Lassen conference rooms.

Webinar Recording

Agenda

Pediatric Dental Benefit Comment Letter

Request for Information

Pediatric Dental Knowns

Pediatric Dental Advocate Letter

Policy Paper on Pediatric Dental Issues

Pediatric Dental Essential Health Benefits FAQ developed by Deborah Kelch of the Health Insurance Alignment Project

          Draft Bridge Plan Demonstration Project Brief


April 11th Plan Management and Delivery System Reform Advisory Group Webinar

This will be the third Plan Management and Delivery System Reform meeting of the year.

Thursday, April 11, 2013, from 10:00 am to 1:30 pm PST

Webinar Recording

Agenda

Presentation (Leesa Tori)

Presentation (Jeff Rideout)


February 19th Plan Management and Delivery System Reform Advisory Group Webinar

This will be the second Plan Management and Delivery System Reform meeting of the year.

Tuesday, February 19, 2013, from 12:00 pm to 3:00 pm PST

Webinar Recording

Agenda

Presentation


January 9th Plan Management and Delivery System Reform Advisory Group Webinar

The purpose of this group is to provide input and feedback on the QHP process. In this webinar, we will discuss the model contract focusing on quality improvement and delivery system reforms, fee structure for plans, and plan partnerships and marketing.

Wednesday, January 9, 2013, from 1:00 pm to 4:00 pm PST

Agenda

First Plan Management and Delivery System Reform Advisory Group Meeting Presentation

Bridge Plan: A Strategy to Promote Safety Net Continuity and Affordability Presentation

Webinar Recording