Meeting Materials for March 14, 2017

January 26, 2017 Meeting Minutes

Presentation - Executive Director's Report

Presentation - Covered California Policy Items

• SHOP Eligibility and Enrollment Emergency Regulations Readoption

  • Resolution 2017-13

• Plan Based Enrollment Permanent Regulations Amendment

• Certified Application Counselor Program Emergency Regulations Readoption

• Enrollment Assistance Permanent Regulations Amendment

• Medi-Cal Managed Care Enrollment Assistance Program Emergency Regulations Readoption

• 2018 Qualified Health Plan Certification Policy Resolution 2017-12

• Draft QHP Certification Application for Plan Year 2018 Individual Marketplace (clean)

• Draft QHP Certification Application for Plan Year 2018 Individual Marketplace (redline)

  • Attachments B C1 C2 D2 D3 – Individual QHP Revised Attachment B title

  • Attachment D1 Member Communication Calendar – Individual QHP

  • Attachment E QIS Run Charts – Individual QHP (Amended) Corrected numbering

• Draft QDP Certification Application for Plan Year 2018 Individual Marketplace (clean)

• Draft QDP Certification Application for Plan Year 2018 Individual Marketplace (redline)

  • Attachments C1 C2 D2 D3 – Individual QDP

  • Attachment D1 Member Communication Calendar – Individual QDP

• Draft QHP Certification Application for Plan Year 2018 Covered California for Small Business (clean)

• Draft QHP Certification Application for Plan Year 2018 Covered California for Small Business (redline)

  • Attachments B C1 C2 D2 D3 G – CCSB QHP Revised Attachment B title

  • Attachment D1 Member Communication Calendar – CCSB QHP

  • Attachment E QIS Run Charts – CCSB QHP Corrected Numbering

  • Attachment H Alternate Plan Rate Sheet

• Draft QDP Certification Application for Plan Year 2018 Covered California for Small Business (clean)

• Draft QDP Certification Application for Plan Year 2018 Covered California for Small Business (redline)

  • Attachments C1 C2 D2 D3

  • Attachment D1 Member Communication Calendar – CCSB QDP

• Appendix A Definition of Good Standing

• Appendix B Issuer Participation Fee Billing Discrepancy Resolution

• Appendix C PMPM_Member_Level_Detail_Response SAMPLE

• Appendix D Covered California Reconciliation Process Guide v2

• Appendix E Covered California Agent of Record (AOR) Policy

• Appendix G Covered California Brand Style Guide

• Appendix H 2017 QHP Issuer Contract Attachment 7

• Appendix I Provider Data Submission Guide 2018

• Appendix J Issuer Payment Discrepancy Resolution

• Appendix K NOD 23 Report Glossary

• Appendix L 834 Companion Guide v16.9.40

• Appendix M 834 Companion Guide Design v2.2

• Appendix N CCSB Agent of Record Policy

• Appendix O GAO 15-593SP

• Appendix P CCSB Group XML Schema v2.1a

• Appendix Q CCSB EDI 820 Companion Guide v2.0

• Appendix R Attachment 7_Meaurement Specifications Updated document

• Appendix S1 CAUTI Rates Individual QHP

• Appendix S2 CLABSI Rates Individual QHP

• Appendix S3 Diff Rates Individual QHP

• Appendix S4 MRSA Rates Individual QHP

• Appendix S5 Colon Rates Individual QHP

• 2018 Standard Benefit Design Resolution 2017-11

• Proposed Standard Benefit Design

• Proposed Covered California 2018 Patient Centered Benefit Plan Designs 10.0

• Proposed Covered California 2018 Patient Centered Benefit Plan Designs 9.5

• Proposed Plan Designs Side-by-Side Comparison

• Proposed Endnotes for 2018 PCBPD

• Proposed 2018 Dental Benefit Plan Designs

• Proposed 2018 Dental Copay Schedule

Comments to the Board (None)

Reports and Research (with Table of Contents and Links)

Press and Media Clips (with Table of Contents and Links)