Customer Success Story State of Michigan : MAGI Case Study

1. Customer Success StoryState of Michigan : MAGI Case Study Beth Long, CGI Don Kosy, Oracle Consulting

2. MAGI Overview MAGI Project Goal • Comply with new CMS Medicaid regulations as required by the Affordable Care Act (ACA) MAGI Challenges • Short time to implement • Complicated regulations • Multiple SOM Departments: coordination and governance • Integrate with existing highly complex State systems, the Federal Application, and the Federal Marketplace system • Leverage lessons learned from the rollout of the Federal Healthcare.gov, to ensure the success of a highly visible State solution

3. MAGI Vendor Selection Why CGI / Oracle? • CGI provided a comprehensive project plan to meet the go-live milestones • Oracle provided an existing MAGI Eligibility Engine, built to model the Federal regulations • Oracle Policy Automation product • English language rules engine • Self-explaining decisions • CGI + OPA Team Skills / Experience • Bid Competitiveness to Overall Value

4. MAGI Execution Challenges • Aggressive schedule requiring multiple integrated systems to modify in parallel • Integrating with new Federal systems including verification sources • Modularized solutions developed in parallel under direction of resource constrained State SMEs • Enabling legislation not finalized • Extreme security and reliability requirements for cloud host environment

5. MAGI Success Factors MAGI Execution Methodology • Very thorough CGI project plan • Iterative, overlapped design/build/test cycles • Adaptation not Creation • Agile scope control based on design prototypes • Thorough State & Federal UAT integration prior to go-live 1/14

6. MAGI Success Factors CGI – SOM Collaboration • Functioned as a Partner - not as a vendor • Demonstrated clear separation of responsibilities • Executive level support • Risk Management • Promoted a governance model for issue and risk management

7. MAGI Success Factors CGI – Oracle Collaboration During bid development • Alliance history • Oracle OPA solution seen as best fit and value for SOM During execution • Partnership relationship rather than prime/sub • Oracle team OPA expertise • CGI project management and methodologies • CGI hosting solution and capabilities Clear separation of responsibilities

8. MAGI Success Factors Oracle’s Role In MAGI MAGI Medicaid eligibility requirements experts Prior experience in other states Policy Automation product experts Eligibility data experts

9. MAGI Solution Architecture • MI MAGI Eligibility Service Architecture • Baseline Federal MAGI Rulebase • Data Model Mapping via High Level Tools • Baseline Eligibility Framework • Michigan-specific Options • Verification and Validation Add-Ons

10. MAGI Success Factors • Iterative Parallel Development Process

11. MAGI Success Factors • PM Level Support

12. MAGI Go-Live! MAGI has implemented 4 quarterly releases over 2014 including implementation of: • 5 required MAGI Medicaid/Chip programs & 2 state options • Presumptive eligibility determinations for under 19 and pregnant women • State Medicaid Expansion program “Healthy Michigan Plan” • Integration with existing State of Michigan Medicaid and CHIP case management systems

14. MAGI Success MAGI Success • Lessons Learned Closing Comments

15. Questions & Answers