March 1, 2018: 2019 Qualified Health Plan Application Individual Marketplace
The Individual Marketplace Health Plan Application has been posted. The application is available electronically to Applicants who submitted a Letter of Intent between February 1 and 15, 2018. Questions and comments can be submitted to QHPCertification@covered.ca.gov.
- Qualified Health Plan Certification Application Plan Year 2019 Individual Marketplace (Corrected 3-13-18)
- Qualified Health Plan Certification Application Plan Year 2019 Individual Marketplace Red-Line (Corrected 3-13-18)
- Appendix A Definition of Good Standing
- Appendix C PMPM_Member_Level_Detail_Response SAMPLE
- Appendix D Covered California Reconciliation Process Guide v3
- Appendix E Covered California Delegation Policy
- Appendix G Covered California Brand Style Guide
- Appendix H 2017 QHP Issuer Contract Attachment 7
- Appendix I Provider Data Submission Guide v1.9
- Appendix L 834 Companion Guide v17.9.20
- Appendix O GAO 15-593SP
- Appendix S1 CAUTI Rates
- Appendix S2 CLABSI Rates
- Appendix S3 C Diff Rates
- Appendix S4 MRSA Rates
- Appendix S5 SSI Colon Rates
- Appendix T Draft Summary of ACO Best Practice
- Appendix U IHA Commercial ACO Measure Set
- Application Legend (Corrected 3-8-18)