Plan Management & Delivery Systems Reform
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Edit March 2nd Meeting
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March 2nd, 2023: Plan Management Advisory Group Meeting and Webinar
Edit February 9th Meeting
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February 9th, 2023: Plan Management Advisory Group Meeting and Webinar
- Agenda
- Presentation
- Recording
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January 12th, 2023: Plan Management Advisory Group Meeting and Webinar
Edit December 8th Meeting
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December 8th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit November 10th Meeting
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November 10th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit October 13th Meeting
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October 13th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit September 29th Meeting
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September 29th, 2022: QDP Issuer Model Contract Refresh Workgroup Meeting
Edit August 16th Meeting
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August 16th, 2022: QDP Issuer Model Contract Refresh Workgroup Meeting
Edit July 7th Meeting
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July 7th, 2022: QDP Issuer Model Contract Refresh Workgroup Meeting
Edit June 9th Meeting
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June 9th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit June 2nd Meeting
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June 2nd, 2022: QDP Issuer Model Contract Refresh Workgroup Meeting
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May 12th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit May 5th Meeting
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May 5th, 2022: QDP Issuer Model Contract Refresh Workgroup Meeting
Edit April 7th Meeting
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April 7th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit April 7th Meeting
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April 7th, 2022: QDP Issuer Model Contract Refresh Workgroup Meeting and Webinar
Edit February 10th Meeting
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February 10th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit January 13th Meeting
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January 13th, 2022: Plan Management Advisory Group Meeting and Webinar
Edit December 9th Meeting
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December 9th, 2021: Plan Management Advisory Group Meeting and Webinar
Edit November 10th Meeting
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November 10th, 2021: Plan Management Advisory Group Meeting and Webinar
Edit October 14th Meeting
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October 14th, 2021: Plan Management Advisory Group Meeting and Webinar
Edit September 9th Meeting
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September 9th, 2021: Plan Management Advisory Group Meeting and Webinar
Edit September 2nd Meeting
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September 2nd, 2021: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit August 12th Meeting
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August 12th, 2021: Attachment 7 Refresh Workgroup Meeting and Webinar
- Agenda
- Presentation
- Webinar Recording is unavailable
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July 8th, 2021: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit June 10th Meeting
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June 10th, 2021: Plan Management Advisory Group Meeting and Webinar
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June 3rd, 2021: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit May 6th Meeting
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May 6th, 2021: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit April 1st Meeting
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April 1st, 2021: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit March 11th Meeting
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March 11th, 2021: Plan Management Advisory Group Meeting and Webinar
Edit January 7th Meeting
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January 7th, 2021: Plan Management Advisory Group Meeting and Webinar
Edit December 10th Meeting
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December 10th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit November 12th Meeting
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November 12th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit October 8th Meeting
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October 8th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit September 10th Meeting
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September 10th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit August 13th Meeting
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August 13th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit July 9th Meeting
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July 9th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit June 12th Meeting
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June 12th, 2020: Quality Rating System Reporting for Measurement Year 2019 Due To COVID-19 – Data Submission Instructions
Edit May 14th Meeting
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May 14th, 2020: Quality Rating System Reporting for Measurement Year 2019 Due To COVID-19
Edit May 14th Meeting
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May 14th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit March 19th Meeting
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March 19th, 2020: Plan Management Advisory Group Meeting and Webinar
Edit March 5th Meeting
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March 5th, 2020: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit January 9th Meeting
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January 9th, 2020: Plan Management Advisory Group Meeting and Webinar
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December 5th, 2019: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit November 14th Meeting
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November 14th, 2019: Plan Management Advisory Group Meeting and Webinar
Edit November 6th Meeting
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November 6th, 2019: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit October 10th Meeting
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October 10th, 2019: Plan Management Advisory Group Meeting and Webinar
Edit October 3rd Meeting
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October 3rd, 2019: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit September 24 Meeting
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September 24, 2019: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit July 31 Meeting
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July 31, 2019: Attachment 7 Refresh Workgroup Meeting and Webinar
Edit September 3rd Meeting
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September 3rd, 2019: Plan Management Advisory Group - Update
Edit July 18th Meeting
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July 18th, 2019: Plan Management Advisory Group Meeting and Webinar
Edit May 9th Meeting
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May 9th, 2019: Plan Management Advisory Group Meeting and Webinar
Edit March 7th Meeting
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March 7th, 2019: Plan Management Advisory Group Meeting and Webinar
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February 14th, 2019: Plan Management Advisory Group Meeting and Webinar
- Agenda
- Presentation Slides
- Proposed Covered California 2020 Dental Copay Schedule
- Proposed Covered California 2020 Dental Benefit Plan Designs and Endnotes
- Proposed 2020 Patient-Centered Benefit Play Design – Side-by-Side Comparison
- Proposed 2020 Patient-Centered Benefit Plan Designs
The proposed 2020 Patient-Centered Benefit Plan Designs presented during the February 14th meeting are final and there will be no further changes to the endnotes. -
January 10th, 2019: Plan Management Advisory Group Meeting and Webinar
Edit Qualified Health Meeting
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Qualified Health Plan Quarterly Certification Application for Plan Year 2019 Covered California Small Business Marketplace
Archives (2018 and Prior)
Quality Transformation Initiative
Resources
- 2023 Plan Management Advisory Group Charter and Membership
- Plan Management Advisory Group Proposed 2023 Dates
2024-2026 QDP Issuer Contract Refresh
- 2024-2026_QDP_Model_3-6-23_Clean_Draft
- 2024-2026_QDP_Model_3-6-23_Redline_Draft
- 2024-2026_QDP_Att-1_3-6-23_Clean_Draft
- 2024-2026_QDP_Att-1_3-6-23_Redline_Draft
- 2024-2026_QDP_Att-2_3-6-23_Clean_Draft
- 2024-2026_QDP_Att-2_3-6-23_Redline_Draft
- 2024-2026_QDP_Att-3_3-6-23_Clean_Draft
- 2024-2026_QDP_Att-3_3-6-23_Redline_Draft
- 2024-2026 QDP Model-Comment-Resp_3-2-23
- 2024-2026 QDP -Att-1-Comment-Resp_3-2-23
- 2024-2026 QDP -Att-2-Comment-Resp_3-2-23
- 2024-2026 QDP Model-Contract 1-12-23_Clean-Draft
- 2024-2026 QDP Model-Contract 1-12-23_Redline-Draft
- 2024-2026 QDP Model-Comment-Resp_1-12-23
- 2024-2026 QDP Att-1 1-12-23_Clean-Draft
- 2024-2026 QDP Att-1 1-12-23_Redline-Draft
- 2024-2026 QDP Att-1-Comment-Resp_1-12-23
- 2024-2026 QDP Att-2 1-12-23_Clean-Draft
- 2024-2026 QDP Att-2_1-12-23_Redline-Draft
- 2024-2026 QDP Att-2-Comment-Resp_1-12-23
- 2024-2026 QDP Att-3 1-12-23_Clean-Draft
- 2024-2026 QDP Att-3 1-12-23_Redline-Draft
- 2024-2026 QDP Att-3-Comment-Resp_1-12-23
- 2024-2026 QDP Model-Contract_10-13-23_Clean-Draft
- 2024-2026 QDP Model-Contract 10-13-23_Redline-Draft
- 2024-2026 QDP Att-1 10-11-22_Clean-Draft
- 2024-2026 QDP Att-2 10-6-22_Clean-Draft
- 2024-2026 QDP Att-3 10-6-22_Clean-Draft
2024 QHP Issuer Contract Amendment CCSB
- 2024-Amend_QHP-CCSB_Model-Contract_3-6-23_Redline-Draft
- 2024-Amend_QHP-CCSB_Model-Contract_3-6-23_Clean-Draft
- 2024-Amend_QHP-CCSB_Att-1_3-6-23_Clean-Draft
- 2024-Amend_QHP-CCSB_Att-2_3-6-23_Redline-Draft
- 2024-Amend_QHP-CCSB_Att-2_3-6-23_Clean-Draft
- 2024-Amend_QHP-CCSB_Att-3_3-6-23_Clean-Draft
- 2024-Amend_QHP-CCSB_Att-1-Comment-Resp_1-12-23
- 2024-Amend_QHP-CCSB_Att-1_1-12-23_Redline-Draft
- 2024-Amend_QHP-CCSB_Att-1_1-12-23_Clean-Draft
- 2024-Amend_QHP-CCSB_Att-2-Comment-Resp_1-12-23
- 2024-Amend_QHP-CCSB_Att-2_1-12-23_Redline-Draft
- 2024-Amend_QHP-CCSB_Att-2_1-12-23_Clean-Draft
- 2024-Amend QHP-CCSB_Model-Comment-Resp_1-12-23
- 2024-Amend_QHP-CCSB_Model-Contract_1-12-23_Redline-Draft
- 2024-Amend_QHP-CCSB_Model-Contract_1-12-23_Clean-Draft
- 2024-Amend_QHP-CCSB_Model-Comment-Resp_12-12-22
- 2024-Amend QHP-CCSB_Model-Contract_12-12-22_Redline-Draft
- 2024-Amend QHP-CCSB_Model-Contract_12-12-22_Clean-Draft
- 2024-Amend QHP-CCSB_Att-1_11-10-22_Redline-Draft
- 2024-Amend QHP-CCSB_Att-1_11-10-22_Clean-Draft
- 2024-Amend_QHP-CCSB_Att-2_11-10-22_Redline-Draft
- 2024-Amend_QHP-CCSB_Att-2_ 11-10-22_Clean-Draft
- 2024-Amend_QHP-CCSB_Model-Contract_10-19-22_Redline-Draft
2024 QHP Issuer Contract Amendment Individual
- 2024-Amend_QHP-IND_Model-Contract_3-6-23_Redline-Draft
- 2024-Amend_QHP-IND_Model-Contract_3-6-23_Clean-Draft
- 2024-Amend_QHP-IND_Att-1_3-6-23_Clean-Draft
- 2024-Amend_QHP-IND_Att-2_3-6-23_Redline-Draft
- 2024-Amend_QHP-IND_Att-2_3-6-23_Clean-Draft
- 2024-Amend_QHP-IND_Att-3_3-6-23_Clean-Draft
- 2024-Amend_QHP-IND_Att-4_3-6-23_Clean-Draft
- 2024-Amend_QHP-IND_Model-Comment-Resp_1-12-23
- 2024-Amend_QHP-IND_Model-Contract_1-12-23_Redline-Draft
- 2024-Amend_QHP-IND_Model-Contract_1-12-23_Clean-Draft
- 2024-Amend_QHP-IND_Att-1-Comment-Resp_1-12-23
- 2024-Amend_QHP-IND_Att-1_1-12-23_Redline-Draft
- 2024-Amend_QHP-IND_Att-1_1-12-23_Clean-Draft
- 2024-Amend_QHP-IND_Att-2-Comment-Resp_1-12-23
- 2024-Amend_QHP-IND_Att-2_1-12-23_Redline-Draft
- 2024-Amend_QHP-IND_Att-2_1-12-23_Clean-Draft
- 2024-Amend_QHP-IND_Att-4-Comment-Resp_1-12-23
- 2024-Amend_QHP-IND_Att-4_1-12-23_Redline-Draft
- 2024-Amend_QHP-IND_Att-4_1-12-23_Clean-Draft
- 2024-Amend_QHP-IND_Model-Comment-Resp_12-12-22
- 2024-Amend_QHP-IND_Model-Contract_12-12-22_Clean-Draft
- 2024-Amend_QHP-IND_Model-Contract_12-12-22_Redline-Draft
- 2024-Amend QHP-IND_Att-1 11-10-12_Redline-Draft
- 2024-Amend QHP-IND_Att-1_11-10-22_Clean-Draft
- 2024-Amend_QHP-IND_Att-2_11-10-22 Redline-Draft
- 2024-Amend_QHP-IND_Att-2_ 11-10-22_Clean-Draft
- 2024-Amend_QHP-IND_Att-4_11-10-22_Redline-Draft
- 2024-Amend_QHP-IND_Att-4_11-10-22_Clean-Draft
- 2024-Amend_QHP-IND_Model-Contract_10-19-22_Redline-Draft
2023-25 Contract Refresh
- 2023-2025_QHP-IND_Policy Methodology 6-10-22
- 2023-2025_QHP-IND_Model-Contract_4-19-22_Redline-Draft
- 2023-2025_QHP-IND_Model-Contract_4-19-22_Clean-Draft
- 2023-2025 QHP-IND_Model-Crosswalk_3-3-22
- 2023-2025_QHP-IND_Model-Comment-Resp_4-18-22
- 2022-Amend_QHP-IND_Att-1_4-19-22_Redline-Draft
- 2022-Amend_QHP-IND_Att-1_4-19-22_Clean-Draft
- 2023-2025_QHP-IND_Att-1-Comment-Resp_3-30-22
- 2023-2025_QHP-IND Att-2_4-19-22_Clean-Draft
- 2023-2025_QHP-IND Att 2_4-19-22_Redline-Draft
- 2023-2025_QHP-IND_Att-2-Comment-Resp 4-19-22
- 2023-2025_QHP-IND Att 3_4-19-22_Clean-Draft
- 2023-2025_QHP-IND Att 3_4-19-22_Redline-Draft
- 2023-2025_QHP-IND_Att-3-Comment-Resp_4-19-22
- 2023-2025 QHP-CCSB_Model-Contract_4-19-22_Redline-Draft
- 2023-2025 QHP-CCSB_Model-Contract_4-19-22 Clean-Draft
- 2023-2025 QHP-CCSB_Model-Crosswalk_4-19-22
- 2023-2025_QHP-CCSB_Model-Comment-Resp_4-18-22
- 2023-2025_QHP-CCSB_Att-1_4-19-22_Clean-Draft
- 2023-2025_QHP-CCSB_Att-1_4-19-22_Redline-Draft
- 2023-2025_QHP-CCSB_Att-1-Comment-Resp_3-29-22
- 2023-2025_QHP-CCSB Att-2_4-19-22_Clean-Draft
- 2023-2025_QHP-CCSB Att-2_4-19-22_Redline-Draft
- 2023-2025_QHP-CCSB_Att-2_Comment-Resp_4-19-22
- 2023-2025_QHP-CCSB Att 3_4-19-22_Clean-Draft
- 2023-2025_QHP-CCSB Att-3_4-19-22_Redline-Draft
- 2023-2025_QHP-CCSB_Att-3-Comment-Resp_4-19-22
- 2017-2023_QDP Model-Contract_4-19-22_Clean-Draft
- 2017-2023_QDP Model-Contract_4-19-22_Redline-Draft
- 2023-2025 QHP-CCSB_Model-Contract_1-28-22_Redline-Draft
- 2023-2025 QHP-CCSB_Model-Contract_1-28-22_Clean-Draft
- 2017-2023 QDP_Model-Contract_1-28-22_Redline-Draft
- 2017-2023 QDP_Model-Contract_1-28-22_Clean-Draft
- 2023-2025 QHP-IND_Model-Crosswalk_1-28-22
- 2023-2025 QHP-IND_Model-Contract_11-28-22_Redline-Draft
- 2023-2025 QHP-IND_Model-Contract_1-28-22_Clean-Draft
- 2023-2025_QHP-IND_Model-Coment-Resp_1-13-22
- 2023-2025_QDP_Model-Comment-Resp_1-13-22
- 2023-2025_QHP-IND_Att-1_1-24-22_Redline-Draft
- 2023-2025_QHP-IND_Att-1_1-24-22_Clean-Draft
- 2023-2025_QHP-IND_Att-1-Comment-Resp_1-25-22
- 2023-2025_QHP-IND Att-2_1-24-22_Redline-Draft
- 2023-2025_QHP-IND Att 2_1-24-22_Clean-Draft
- 2023-2025_QHP-IND_Att-2-Comment-Resp_12-19-21
- 2023-2025_QHP-IND_Att-3_1-24-22_Redline-Draft
- 2023-2025_QHP-IND Att-3_1-24-22_Clean-Draft
- 2023-2025_QHP-IND_Att-3-Coment-Resp_12-17-21
- 2023-2025_QHP-CCSB_Att-1_1-24-22_Redline-Draft
- 2023-2025_QHP-CCSB_Att-1_1-24-22_Clean-Draft
- 2023-2025_QHP-CCSB_Att-1-Comment-Resp_1-13-22
- 2023-2025_QHP-CCSB Att-2_1-24-22_Redline-Draft
- 2023-2025_QHP-CCSB Att-2_1-24-22_Clean-Draft
- 2023-2025_QHP-CCSB Att-3_1-24-22_Redline-Draft
- 2023-2025_QHP-CCSB Att-3_1-24-22_Clean-Draft
- 2023-2025_QHP-CCSB_Att-3-Comment-Resp_12-1-21
- 2017-2023 QDP Att-7-Att-14_1-24-22_Redline-Draft
- 2023-Amend_QDP_Att-7-Att-14-Comment-Resp_1-13-22
- 2017-2023_QHP-IND_CovCA-PromoteQuality&Equity 11-10-2021
- 2023-2025 QHP-CCSB Att-3_11-18-21_Redline-Draft
- 2023-2025 QHP-CCSB Att-3 11-18-21_Clean-Draft
- 2023-2025_QHP-CCSB_Att-1-Comment-Resp_11-167-21
- 2023-2025 QHP-CCSB Att-1_11-18-21_Redline-Draft
- 2023-2025 QHP-CCSB Att-1__11-18-21_Clean-Draft
- 2023-2025_QHP-CCSB_Att-2-Comment-Resp_11-5-21
- 2023-2025 QHP-CCSB Att 2_11-18-21_Redline-Draft
- 2023-2025 QHP-CCSB Att-2_11-18-21_Clean-Daft
- 2023-2025_QHP-IND_Att-2-Comment-Resp_11-5-21
- 2023-2025 QHP-IND Att-2_11-18-21_Redline-Draft
- 2023-2025 QHP-IND Att-2_11-18-21_Clean-Draft
- 2023-2025_QHP-IND_Att-3-Comment-Resp_11-9-21
- 2023-2025 QHP-IND Att-3_11-18-21_Redline-Draft
- 2023-2025 QHP-IND_Att 3_11-18-21_Clean-Draft
- 2023-2025_QHP-IND_Att-1-Comment-Resp_11-9-21
- 2023-2025_QHP-IND_Att-7-Crosswalk_9-10-21
- 2023-2025 QHP-IND_Att-1_11-8-21_Redline-Draft
- 2023-2025 QHP-IND_Att-1_11-8-21_Clean-Draft
- 2023-2025_QHP-IND_Model-Comment-Resp_11-3-21
- 2023 IND-QHP Model-Contract_11-3-21_Redline-Draft
- 2023 IND-QHP Model-Contract_11-3-21_Clean-Draft
- 2023-2025_QHP-CCSB_Model-Comment-Resp_11-2-21
- 2023 QHP-CCSB Model-Contract_11-3-21_Redline-Draft
- 2023 QHP-CCSB Model-Contract_11-3-21_Clean-Draft
- 2017-2023 QDP Model-Contract_11-3-21_Redline-Draft
- 2017-2023 QDP Model-Contract 11-3-21_Clean-Draft
- 2023-Amend_Att-7-Att-14-Comment-Resp_11-4-21
- 2017-2023 QDP Att-14_11-3-21_Redline-Draft
- 2017-2023 QDP Att-14_11-3-21_Clean-Draft
- 2023-Amend_QDP_Model-Comment-Resp_11-4-21
- 2017-2023 QDP Att-7_11-3-21_Redline-Draft
- 2017-2023 QDP Att-7 11-3-21_Clean-Draft
- 2023-2025 QHP-IND Att-X-With-Penalties_10-15-21_Clean-Draft
- 2023-2025 QHP-OMD Att-X-And-Expectations_10-15-21_Clean-Draft
- 2022-2023_QHP-CCSB_Att-7-Crosswalk_10-21-21
- 2023-2025 QHP-CCSB Att-7_10-21-21_Clean–Draft
- 2023-2025_QHP Att-X- And-Expectations_10-15-21_Clean-Draft
- 2023-2025_QHP Att-X- With Penalties_10-15-21_Clean-Draft
- 2017-2023_QDP_Att-14_9-17-21_Redline-Draft
- 2017-2023_QDP_Att-7_9-17-21_Redline-Draft
- 2023-2025_QHP-IND_Att-7_09.10.21_Clean-Draft
- 2023-2025_QHP-IND_Att-Crosswalk_9-10-21
- 2017-2023 QDP Model-Contract_9-2-21_Redline-Draft
- 2023-2025 QHP-CCSB Model-Contract 9-2-21_Clean-Draft
- 2023-2025 QHP-CCSB Model-Contract_9-2-21_Redline-Draft
- 2023-2025 QHP-IND Model-Contract_8-31-21_Clean-Draft
- 2023-2025 QHP-IND Model-Contract_8-31-21_Redline-Draft
2022 Contract Amendment
- 2022-Amend_QHP-IND_Att-14_3-18-21_Clean-Draft
- 2022-Amend_QHP-IND_Att-14_3-18-21_Redline-Draft
- 2022-Amend QDP-IND_Model-Contract 3-18-21_Clean-Draft
- 2022-Amend QDP-IND Model-Contract_3-18-22_Redline-Draft
- 2022-Amend_QDP-IND_Att-7_3-18-21_Clean-Draft
- 2022-Amend_QDP-IND_Att-7_3-18-21_Redline-Draft
- 2022-AmendQDP-IND_Att-14 3-18-21_Clean-Draft
- 2022-Amend_QDP-IND_Att-14 3-18-21_Redline-Draft
- 2022-Amend_QDP-IND_Att-14-Comment-Response 3-18-21
- 2022-Amend_QDP_Comment-Period_1-15-21_Clean-Draft
- 2022-Amend_QDP_Comment-Period_1-15-21_Redline-Draft
- 2022-Amend_QHP-IND_Att-7_3-18-21_Clean-Draft
- 2022-Amend_QHP IND_Att-7_3-18-21_Redline-Draft
- 2022-Amend_QHP-IND_Att-7-Comment-Response_3-18-21
- 2022-Amend_QHP-IND_Att-14 3-18-21_Clean-Draft
- 2022-Amend_QHP-IND_Att-14 3-18-21_Redline-Draft
- 2022-Amend_QHP-IND_Att-14-Comment-Response_3-18-21
- 2022-Amend_QHP-CCSB_Att-7_3-18-21_Clean-Draft
- 2022-Amend_QHP-CCSB_Att-7_3-18-21_Redline-Draft
- 2022-Amend_QHP-CCSB_Att-7-Comment-Response 3-18-21
- 2022-Amend_QHP-CCSB Comment-Period 1-20-21_Clean-Draft
- 2022-Amend_QHP-CCSB Comment-Period 1-20-21_Redline-Draft
- 2022-Amend_QHP-CCSB Att-14_3-18-21_Clean-Draft
- 2022-Amend_QHP-CCSB_Att-14 3-18-21_Redline-Draft
- 2022-Amend_QHP-IND Model-Contract_1..1.21_Clean-Draft
- 2022-Amend_QHP-IND Model-Contract_1,1,21_Redline-Draft
- 2022-Amend_QHP-IND Model-Contract-Comment-Response_1.4.21
- 2022-Amend_QHP-IND_Att-7 1.14.21_Clean-Draft
- 2022-Amend_QHP-IND_Att-7 1.14.21_Redline-Draft
- 2022-Amend_QHP-IND_Att-7-Comment-Response_1.4.21
- 2022-Amend_QHP-IND Att-14 1.11.21_Clean-Draft
- 2022-Amend_QHP-IND_Att-14 1.11.21_Redline-Draft
- 2022-Amend_QHP-IND_Att-14-Comment-Repsonse_1.13.21
- 2022-Amend_QHP-IND_Att-7_11.12.20_Clean-Draft
- 2022-Amend_QHP-IND_Att-7-Summary of Changes-2021 -2022_10.15.20
- 2022-Amend_QHP-IND_Att-7-Crosswalk -Requirements_10.15.2020
Health Equity & Quality Transformation Refresh Resources
- NCQA Multicultural Health Care Distinction
- NCQA Multicultural Health Care Distinction Crosswalk
- URAC Comments to Covered California on HMA Report
- National Accreditation Bodies and Fit for Covered California
- Covered California’s First Five Years: Improving Access, Affordability and Accountability
- Covered California Holding Health Plans Accountable for Quality and Delivery System Reform
- Chart Pack for Covered California Reports
- Issuer and Public Comments to Inform Attachment 7 Refresh
- Current Best Evidence and Performance Measures for Improving Quality of Care and Delivery System Reform
- Recommended Measures for Covered California by PricewaterhouseCoopers
- Health Purchaser Strategies for Improving Quality of Care and Delivery System Reform
Benefit Plan Designs
- 2023 Standard Benefit Plan Designs - Updated September 2022
- 2023 Standard Benefit Plan Designs
- 2022 Standard Benefit Plan Designs
- 2021 Standard Benefit Plan Designs
- 2020 Standard Benefit Plan Designs
- 2019 Standard Benefit Plan Designs
- 2023 Dental Standard Benefit Plan Designs
- 2022 Dental Standard Benefit Plan Designs
- 2023 Dental Copay Schedule
- 2022 Dental Copay Schedule
Final QHP and QDP Issuer Model Contracts
- 2017-2023_QDP_Contract_8-1-22_Clean-Final
- 2022-Amend_QHP-IND_Att-1_8-1-22_Clean-Final
- 2022-Amend_QHP-IND_Att-2_8-1-22_Clean-Final
- 2022-Amend_QHP-IND_Att-3_8-1-22_Clean-Final
- 2022-Amend_QHP-IND_Att-4_8-1-22_Clean-Final
- 2022-Amend_QHP-IND_Bnft-Dsgn-Off-Ex-Sil_6-16-22
- 2023-2025_QHP-IND_Contract_8-1-22_Clean-Final
- 2022-Amend_QHP-CCSB_Att-1_8-1-22_Clean-Final
- 2022-Amend_QHP-CCSB_Att-2_8-1-22_Clean-Final
- 2022-Amend QHP-CCSB_Att-3_8-1-22_Clean-Final
- 2023-2025_QHP-CCSB_Contract_8-1-22_Clean-Final
- 2022-Amend_QHP-CCSB_Att-5_8-24-22_Clean-Final
- 2022-Amend_QHP-IND_Contract_8-9-21_Clean-Final
- 2022-Amend_QHP-IND_Att-7_8-9-21_Clean-Final
- 2022-Amend_QHP-IND_Att-14_12-1-21_Clean-Final
- 2022-Amend_QDP_Contract_8-9-21_Clean-Final
- 2022-Amend_QDP Att-3_8-9-21_Clean-Final
- 2022-Amend_QDP Att-7 8-9-21_Clean-Final
- 2022-Amend_QDP Att-14 8-9-21_Clean-Final
- 2022-Amend_IND-CCSB_Contract_8-9-21_Clean-Final
- 2022-Amend_IND-CCSB_Att-3 8-9-21_Clean-Final
- 2022-Amend_IND-CCSB Att-7 8-9-21_Clean-Final
- 2022-Amend_IND-CCSB Att-14 8-9-21_Clean-Final
- 2021-Amend_QHP-IND_Contract 8-9-21_Clean-Final
- 2021-Amend_QDP_Contract 8-9-21_Clean-Final
- 2021-Amend_QHP-CCSB Contract_12-8-20_Clean-Final
- 2021-Amend_QHP-CCSB Att-3 12-8-20_Clean-Final
- 2021-Amend_QHP-CCSB Att-7 12-1-20_Clean-Final
- 2021-Amend_QHP-CCSB Att-14 12-8-20_Clean-Final
- 2021-Amend_QHP-IND_Att-7 12-8-20_Final-Clean
- 2021-Amend_QHP-IND_Att-14 12-8-20_Clean-Final
- 2020-Amend_QHP-IND Contract 10-14-19_Clean-Final
- 2020-Amend_QDP Contract 8-22-19_Clean-Final
- 2020-Amend_QHP-CCSB Contract 8-22-19_Clean-Final
- 2020-Amend_QHP-IND_Att-7 8-19-19_Clean-Final
- 2020-Amend_QHP-IND_Att-14 8-19-19_Clean-Final
- 2019-Amend_QHP-IND Contract_3-21-19_Clean-Final
- 2019-Amend_QDP Contract 9-19-18_Clean-Final
- 2019-Amend_QHP-CCSB Contract_1-18-19_Clean-Final
- 2019-Amend_QHP-IND_Att-7 3-18-19_Clean-Final
- 2019-Amend_QHP-IND_Att-14 3-18-19_Clean-Final
- 2018-Amend_QHP-IND_Contract 1-19-18_Clean-Final
- 2018-Amend_QDP Contract 1-19-18_Clean-Final
- 2018-Amend_IND-CCSB Contract_1-19-18_Clean-Final
- 2018-Amend_QHP-IND_Att-7 Clean-Final
- 2017-2019_QHP-IND_Contract_8-23-2016_Clean-Final
- 2017-2019_QDP_Contract_10-27-2016_Clean_Final
- 2017-2019_IND-CCSB_Contract_11-21-2016_Clean-Final
Certification
Additional Stakeholder Links
Provider Data Submission Support Documents
- Covered California Provider Data Submission Guide V1.13
- Covered California QDP_Provider Data Submission Schedule 2023
- Covered_California_QHP_Provider_Data_Submission_Schedule_2023
Essential Community Providers
- Covered California's Essential Community Provider Page
- Covered California's Essential Community Provider List