Reporting Expectation Sample Clauses

Reporting Expectation. Submission of all required reports to Covered California within contractually specified times (varies by report or type of report). 5% of total performance requirement expected. Performance Level: one or more reports submitted more than 4 months after required submission date: 5% penalty of total performance requirement. One or more reports submitted after 30 days of required submission date: 2.5% penalty of total performance requirement. All required reports submitted within 5 business days of required submission: no penalty. Covered California – Final Health Plan Contract Attachments, May 620117, 2013 Attachment 14-7 ATTACHMENTS TO COVERED CALIFORNIA QUALIFIED HEALTH PLAN CONTRACT Covered California Performance Standards for Contractor Group 3: Covered California PerformanceStandardsPerformance Standards Quality, Network Management and Delivery System Standards 0.0% of Performance Penalty or Credit for Measurement Year 2014/ 50% of Performance Penalty or Credit Thereafter 3.1 Quality, Network Management and Delivery Systems Standards Covered California Performance Requirements Covered California and Contractor shall work with the Covered California Advisory group to periodically review and adjustidentify the specific measures within each of the measure sets [below] consistent with any applicable Federal regulations. In addition, Covered California will work with contractors as appropriate to adjust measure sets where a contractor does not have all of the specific HEDIS measures. 3.2.1 Quality and Network Management – Quality Reporting System (QRS)- Getting the Right Care; related to Attachment 7, Section 3.01. Specific measures noted in Appendix 1 to this Attachment 14. Expectation: Getting the Right Care- HEDIS/CAHPS Clinical Effectiveness measure set summary (Product type reporting)- 106.255% of total performance requirement expected. Performance Level: <50th PCT:105% penalty;51-75th PCT: no penalty; >75th PCT: 105% performance credit (vs. national HMO benchmark).

Reporting Expectation. Submission of all required reports to Covered California within contractually specified times (varies by report or type of report). 5% of total performance requirement expected. Performance Level: one or more reports submitted more than 4 months after required submission date: 5% penalty of total performance requirement. One or more reports submitted after 30 days of required submission date: 2.5% penalty of total performance requirement. All required reports submitted within 5 business days of required submission: no penalty.