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Connecticut Health Insurance Exchange Information Technology Project Overview

Connecticut Health Insurance Exchange Information Technology Project Overview. April 19, 2012 Prepared by CTHIX Management Team. Agenda. HIX Major Processes Program Integration IT Phasing MOU Department of Social Services HIX Technical Assistances

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Connecticut Health Insurance Exchange Information Technology Project Overview

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  1. Connecticut Health Insurance ExchangeInformation Technology Project Overview April 19, 2012 Prepared by CTHIX Management Team

  2. Agenda • HIX Major Processes • Program Integration • IT Phasing • MOU Department of Social Services • HIX Technical Assistances • HIX Solution Request for Information • Questions and Answers

  3. HIX Major Processes

  4. Individual Purchase Medicaid Subsidy Other Eligibility Determination Eligibility Determination Eligibility Determination Eligibility Determination Eligibility Determination DDS DSS Exchange DMHAS DPH DCF Program Integration | Without Integrated Eligibility Multiple Front Doors Multiple Eligibility Platforms Multiple Eligibility Outcomes Connecticut Health Insurance Exchange Page

  5. Eligibility Determination • HIX • DSS • DDS • DCF • DMHAS • DPH Single Front Door Consumer Enters Info Program Integration | Integrated Eligibility One Eligibility Determination Process for All HHS Programs Single Front Door Unified Eligibility Platform Connecticut Health Insurance Exchange Page

  6. Priority Track IT plan emphasizes the priorities of HIX and Medicaid (CT DSS): Exchange operations MAGI and other eligibility Other HHS Strategy to achieve an integrated eligibility solution to serve all HHS agencies Solution for HIX and DSS will become the core of an integrated eligibility platform Phased implementation for HHS agencies will follow HIX and DSS roll out IT Phasing • Now exploring phased implementations to facilitate key deadlines 2015 2012 2013 2014 Q3 Q4 Q1 Q2 Q3 Q4 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Q1 Q2 Priority Track: HIX Operations, MAGI and other Eligibility Go-Live New Eligibility Determination Coverage Begins Go-Live deadline for enhanced FFP Other HHS Integrated Eligibility & Non-Priority Modernization

  7. IT Phasing • Revised Approach Currently Consolidating Planning & Implementation Consolidated Approach • Planning, Design, Procurement coordinated across all Medicaid, HHS and HIX stakeholders • One Master Technical Assistance Contractor • Coordinate all CCIIO and CMS Gates & certifications • Developing expedited Procurement Strategy to accelerate Implementation and Collapse Time-to-Market • e.g. Leverage State’s List of Pre-Selected IT Firms • e.g. Potentially use Single Implementation Prime HIX MITA 3.0 Self-Assessment Unified Agency Governance Medicaid-only Eligibility,E-APD & Certifications Consolidate Contractor/Procurement TBD Component Modernizations Integrated Eligibility TBD Multiple Other

  8. MOU| Department of Social Services MOU Between HIX and DSS (Medicaid) • MOU between • HIX and DSS: • Coordinate Plan/Procure cycle • Share Technical Resources and Vendors • Coordinate Federal approvals and Certifications • Lays groundwork for shared Operations HIX Development Unified, Coordinated CT Medicaid and HHS Modernizations

  9. HIX Technical Assistance • Original Phasing of HIX Planning Basis of HIX Contractor SOW • Primarily HIX-focused • Soft Coordination with Medicaid Modernization HIX Technical Assistance Contractor Specifications for Preferred Option RFP Development &ProcurementSupport PurchaseStrategyOptions& Prelim Cost Estimate • Business ProcessRequirements Option Selection • IT Requirements Implementation Plan Concept of Operations

  10. HIX Operating Options Drive Functional Requirements and Define Exchange Logical Component Model Exchange Operating Model ‘”Options” IT Solution Implementation Options for Planning & Budgeting Business Process May support one or more May be included in Has one or more Operating Model Functional Requirement Exchange Business Service (Software) Logical Component Determines Automates May require

  11. Exchange Logical Component Model

  12. HIX Solution Request for Information • RFI issued March 9, 2012 • Review options available in the market for information technology and business process solutions • 12 responses received March 30 • Responses will be reviewed and evaluated during April

  13. Questions and Answers

  14. CONCLUSION

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