Common use of Million Californians Clause in Contracts

Million Californians. Contact the DMHC Help Center at 0-000-000-0000 or xxx.XxxxxxXxxx.xx.xxx Upon receipt, of the Plan’s annual PAAS submission the Department is required to review the information submitted regarding a plan’s compliance with the timely access standards, make recommendations for changes that further protect enrollees, and post findings from the review on its Web site on or before December 31 of each year. On February 13, 2017, the Department issued All Plan Letter (APL) 17-002 requiring that each plan contract with an external vendor to conduct a quality assurance review of the plan’s data prior to submission. Once an issue is identified by the plan’s External Vendor Validation Report, the APL requires that plan either correct the issue or explain why it cannot be fixed and implement corrective action to ensure that the issue does not recur in future reporting years. The Department contracts with an outside vendor to complete review of all plan PAAS submissions. After the Department’s vendor completes its review of the plan’s submission, the Department sends each health plan a feedback letter requesting a response. In its response, the health plan may include additional information for the Department to take into account in assessing compliance or actions the health plan is taking to ensure compliance in future reporting years. For MY 2017, the Department sent the Plan a feedback letter on October 23, 2018. The letter provided the Plan the opportunity to submit a response to the Department’s feedback no later than December 13, 2018.

Million Californians. Contact the DMHC Help Center at 0-000-000-0000 or xxx.XxxxxxXxxx.xx.xxx Upon receipt, of the Plan’s annual PAAS submission the Department is required to review the information submitted regarding a plan’s compliance with the timely access standards, make recommendations for changes that further protect enrollees, and post findings from the review on its Web site on or before December 31 of each year. On February 13, 2017, the Department issued All Plan Letter (APL) 17-002 requiring that each plan contract with an external vendor to conduct a quality assurance review of the plan’s data prior to submission. Once an issue is identified by the plan’s External Vendor Validation Report, the APL requires that the plan either correct the issue or explain why it cannot be fixed and implement corrective action to ensure that the issue does not recur in future reporting years. The Department contracts with an outside vendor to complete review of all plan PAAS submissions. After the Department’s vendor completes its review of the plan’s submission, the Department sends each health plan a feedback letter requesting a response. In its response, the health plan may include additional information for the Department to take into account in assessing compliance or actions the health plan is taking to ensure compliance in future reporting years. For MY 2017, the Department sent the Plan a feedback letter on October 23, 2018. The letter provided the Plan the opportunity to submit a response to the Department’s feedback no later than December 13, 2018.