QHP definition
Examples of QHP in a sentence
Unless otherwise agreed to by Covered California, Contractor shall continue to provide information describing all Participating Providers in its QHP networks in a format prescribed by Covered California on a monthly basis to support Covered California’s centralized provider directory containing every QHP’s network providers, this includes testing, implementation, and continued evaluation.
This summary information will be used by Covered California customer service staff when referencing Contractor or QHP information.
Contractor shall maintain timely compliance with standards required for certification that are issued, adopted, or recognized by Covered California to demonstrate that each health plan it offers in Covered California qualifies as a QHP.
All QHP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data including demographic, licensure, and other relevant information with respect to all their QHPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered by Contractor through Covered California.
Contractor may appeal the decertification of its QHP that will result in connection with the termination of this Agreement and such appeal shall be conducted pursuant to Covered California’s process and in accordance with applicable laws, rules and regulations.