Maryland Health Benefit Exchange Summary Work Plan

Transcription

1 I. Legal uthority & overnance Legislative and Regulatory ction Jan-11 May ** Health Benefits Exchange enabling legislation adopted (MD HBE of 2011; SB 443; HB 238) Exchange operational independence Exchange Board and governing structure Exchange Broad Establishment policy adopted Planning, Level 1 & 2 Planning, Level 1 & 2 X X X X X X X X X X Jan-11 May-12 Legislature Planning X X X X X X pr-11 pr-11 Exchange Board 5 ** 2.6 Exchange Navigators Policy adopted pr-12 Jan , ** 3.7 Exchange Producer uthorization policy adopted Exchange Eligibility Determination & Verification policy adopted Planning; Level 1 pr-11 Jun-11 Exchange Board Level 1 X pr-12 Feb-13 MHBE Level 2 X X X X MHBE,MI, & DHMH X Level 2 X X X X pr-12 Jan-13 MHBE Level 2 X X X X pr-12 Feb-13 MHBE Level 2 X X X X Exchange Call Center policy adopted pr-12 Feb-13 MHBE Level 2 X X X X 9 ** 3.11 Exchange ppeals & rievance policy adopted pr-12 May-13 MHBE Level 2 X X X X X 10 ** 11.1 Exchange Fraud, Waste, & buse Program adopted pr-12 Feb-13 MHBE Level 2 X X X X Exchange Qualified Health Plan Certification policy adopted pr-12 Sep-12 MHBE Level 2 X X Plan Presentment policy adopted pr-12 Sep-12 MHBE Level 2 X X R's policy adopted pr-12 Sep-12 MHBE & MI Level 2 X X Program Integration Mar-12 Jan-13 Level 1 & 2 X X X X X Exchange integrated business support processes with MI & MHCC Exchange integrated business support processes with DHR & OIT developed Exchange integrated business support processes with DHMH developed Exchange IT interfaces with MI / DHMH / MHCC / DHR / OIT identified Mar-12 Sep-12 Tequila & Rebecca Level 2 X X X Mar-12 Sep-12 Kevin Level 2 X X X Mar-12 Sep-12 Maansi & Rebecca Level 2 X X X Mar-12 Jan-13 PMO Level 1 X X X X X 18 ** 3.2 MOUs with MI & MHCC Mar-12 Jan-13 Tequila Level 2 X X X X X 19 ** 3.2 MOUs with DHR & OIT Mar-12 Jan-13 Kevin Level 1 X X X X X 20 ** 3.2 MOUs with DHMH Mar-12 Jan-13 Maansi Level 1 X X X X X Exchange IT interfaces with Federal gencies identified Exchange integrated business support processes with Federal gencies developed Mar-12 Jun-12 PMO Level 2 X X Mar-12 Nov-12 Kevin Level 2 X X X X Page 1 of 17

2 MOUs with Federal gencies Mar-12 Dec-12 Kevin Level 2 X X X X II. Consumer Engagement & Stakeholder Support Background Research pr-11 Dec Maryland insurance market analysis Environmental scan & market analysis "Health Care Reform" public opinion and academic research study Planning; Level 1 & 2 Planning; Level 1 pr-11 Jun-11 lice Level 1 X Sep-11 Sep-11 Oct-11 Oct-11 KRC (Weber Shandwick KRC (Weber Shandwick Level 1 X X Level 1 X X X X X X X X X X X X X X X X X Market rules and risk assessment study Sep-11 Oct-11 Mercer Level 1 X X Financing the Exchange study Sep-11 Oct-11 Wakely Consulting Level 1 X X Navigator functions study Sep-11 Oct-11 Manatt Level 1 X X Operating model study Sep-11 Oct-11 Wakely Consulting Level 1 X X Study of SHOP Exchange Sep-11 Oct-11 IHPS Planning X X Brand landscape analysis Jan-12 Jun-12 KRC (Weber Shandwick Level 1 X X Enrollment take-up model assessment Sep-11 Jul-12 Hilltop Level 1 X X X X X SHOP take-up model assessment Nov-12 Dec-14 Kevin Level 2 X X X X X X X X X Cost allocation study Jan-13 Dec-14 Rebecca Level 2 X X X X X X X X Individual billing & collection study ug-12 Oct-12 Kevin Level 2 X X Salary study Jan-13 Mar-13 Rebecca Level 2 X Consumer support study Sep-12 Dec-14 Leslie Level 2 X X X X X X X X X X Continuity of care study Jan-12 Dec-12 Rebecca Level 2 X X X X Financing the Exchange study Jan-12 Dec-12 Wakely Consulting Level 1 X X X X Navigator Functions study Jan-12 Dec-12 Manatt Level 1 X X X X Stakeholder Consultation Jun-11 Jan-15 Planning; Level 1 & 2 X X X X X X X X X X X X X X X Operating Model dvisory Committee convened and feedback received ug-11 pr-12 MHBE Level 1 X X X X SHOP dvisory Committee convened and feedback received ug-11 pr-12 MHBE Level 1 X X X X Financing dvisory Committee convened and feedback received ug-11 Dec-12 MHBE Level 1 & 2 X X X X X X Navigator Program dvisory Committee convened and feedback received ug-11 Dec-12 MHBE Level 1 & 2 X X X X X X Plan Management dvisory Committee convened and feedback received Jun-12 Sep-12 MHBE Level 2 X X Page 2 of 17

3 Continuity of Care dvisory Committee convened and feedback received Exchange Coordinating Committee representing key State gencies (DOIT, HBE, DHMH, DHR, MI) and Contractors convened and resource alignment, change management, and planning recommendations are provided Exchange Implementation dvisory Committee convened and feedback provided Exchange Board convenes open sessions, at least monthly, and minutes are publicly posted Jun-12 Dec-12 MHBE Level 2 X X X pr-12 Jul-14 Kevin Level 1 X X X X X X X X X X Sep-11 Jul-14 Tequila Level 1 X X X X X X X X X X X X X Jun-11 Jan-15 Exchange Board Planning; Level 1 & 2 X X X X X X X X X X X X X X X Long-term Operations dministration pr-11 Dec-14 Level 1 & 2 X X X X X X X X X X X X X X X Long-term operational facilities Jan-12 Dec-12 Leslie Level 1 & 2 X X X X Long-term Back Office operations Mar-12 Dec-12 Leslie & Kevin Level 1 & 2 X X X X Operating polices and procedures finalized Jul-11 Dec-14 Leslie Level 1 & 2 X X X X X X X X X X X X X X Consumer ssistance Mar-12 Dec-14 Level 1 & 2 X X X X X X X X X X X X Total Consumer ssistance Program description, implementation plan, and May-12 ug-12 Leslie Level 2 X X funding strategy developed Navigator Program description, implementation plan, and funding strategy May-12 ug-12 Leslie Level 2 X X developed 56 ** 3.11 ppeals & rievances Program description, implementation plan, and funding strategy developed Jun-12 ug-12 Kris Level 2 X X ,2.8 gent/producer Program description, Tequila implementation plan, and funding strategy Jun-12 Sep-12 & Danielle developed Level 2 X X ,2.8 TP Program description, implementation plan, and funding strategy developed Jun-12 Sep-12 Tequila & Danielle Level 2 X X Call Center Program description, implementation plan, and funding strategy developed Jun-12 Dec-12 Leslie Level 1 & 2 X X X Call Center business process model and functional capabilities Dec-12 Jan-13 Leslie Level 1 & 2 X X 61 ** 2.6 Navigator Program criteria and selection process ug-12 pr-13 Leslie Level 2 X X X X Navigator Program implemented pr-13 Oct-13 Leslie Level 2 X X X Page 3 of 17

4 Total Consumer ssistance Program business process model and functional capabilities (e.g. Call Center, Web, Mail, Walk-in, kiosks, etc.) ug-12 Jun-13 Leslie Level 1 & 2 X X X X 64 ** 3.11 ppeals & rievances business process model and functional capabilities ug-12 Oct-13 Kris Level 2 X X X X X X ,2.8 gent/producer Program criteria and selection process Sep-12 Dec-12 Tequila Level 2 X X ,2.8 gent/producer Program implemented Sep-12 pr-13 Tequila Level 2 X X X X ,2.8 TP Program criteria and selection process Sep-12 Dec-12 Tequila Level 2 X X ,2.8 TP Program implemented Sep-12 pr-13 Tequila Level 2 X X X X Culturally & linguistically appropriate outreach and educational materials created Mar-12 Dec-14 Danielle Level 2 X X X X X X X X X X X X Communication, Outreach, and Education Feb-12 Dec-14 Level 1 & 2 X X X X X X X X X X X X Brand for the consumer and small business exchanges that represents the end user experience and brand promise supported by research fully developed Communications policies and procedures for the Maryland Health Benefit Exchange Communications strategy for segmented audiences beginning with pre-enrollment objectives develop and executed Comprehensive training to support Navigator program including materials is Integrated media campaign (beginning in October 2013 )that includes advertising, social media, digital media, collateral, outdoor, and earned media strategies to support enrollment objectives planned and executed Outreach materials for consumers including educational materials and information relevant to eligibility and enrollment developed and disseminated Partnership programs with corporate organizations, associations and other entities for endorsement of the Exchange pr-12 ug-12 Danielle Level 1 X X Feb-12 Feb-13 Danielle Level 1 X X X X X Feb-12 ug-13 Danielle Level 1 X X X X X X X Feb-13 Feb-14 Danielle Level 2 X X X X X Sep-12 Dec-14 Danielle Level 2 X X X X X X X X X X Mar-13 Dec-14 Danielle Level 2 X X X X X X X X Oct-12 Dec-14 Danielle Level 2 X X X X X X X X X Page 4 of 17

5 Partnerships with public and nonprofit organizations for collaboration, outreach and education with target populations Oct-12 Dec-14 Danielle Level 2 X X X X X X X X X statewide III. Eligibility and Enrollment Level 1 Determination, Tax Credits, Cost-sharing, & Medicaid Jan-11 Jan-13 Level 1 X X X X X X X X X Requirements, including Exchange and state subsidy program requirements for: integrating enrollment and eligibility 78 ** 3.0 transactions, coordinating appeals, coordinating applications and notices, managing transitions (including data conversion) developed Jan-11 Dec-12 PMO SME Level 1 X X X X X X X X ** ** 3.2 Essential Health Benefits Program Eligibility Determination strategy Eligibility business process model and functional capabilities Coordination strategy between State's Insurance ffordability Program(s) and SHOP that allows the Exchange to accept & process applications, updates, and renewals using various channels (e.g. inperson, online, mail, phone) May-12 Sep-12 OHR Level 1 X X May-12 Jun-12 Kevin Level 1 X May-12 Jan-13 Kevin Level 1 X X X X May-12 Jan-13 Kevin/Jocelyn Level 1 X X X X 83 ** 3.3, 3.9 Business process model and functional capabilities that support application acceptance, processing, updates, renewals, and consumer notifications May-12 Jan-13 Kevin Level 1 X X X X Enrollment Jan-11 Jan-14 Level 1 & 2 X X X X X X X X X X X X X 84 ** 3.0 Requirements for systems and program operations, including: providing plan information to individuals based on eligibility and Qualified Plan data; enrollment submission transactions to Qualified Plan issuers; enrollment notifications management; termination of coverage management; enrollment reconciliation; and relevant HHS data submissions developed Jan-11 Mar-12 Kevin Level 1 X X X X X Enrollment and Consumer notification strategy description and implementation plan defined May-12 ug-12 Leslie Level 1 X X 86 ** 3.9 Enrollment and Consumer notification process model and functional capabilities May-12 Oct-13 Leslie Level 1 & 2 X X X X X X X Page 5 of 17

6 87 ** 3.1 Consumer enrollment in Qualified Plans Oct-13 Jan-14 Leslie Level 1 &2 X X IV. Plan Management Level 1 & 2 Certification, Recertification, and Decertification of Qualified Plans May-12 Mar-14 Level 2 X X X X X X X X Preliminary Qualified Plan Certification, Recertification, and Decertification strategy, implementation plan, and funding May-12 Jun-12 Tequila Level 2 X approach developed Initial Qualified Plan criteria consistent with federal guidance and state goals May-12 Jun-12 Tequila Level 2 X , 4.7 Requirements for Qualified Plan certification: network adequacy, marketing strategy; accreditation; transparency Jun-12 Sep-12 Tequila Level 2 X X clearly defined 91 4,2 Qualified Plan Certification, Recertification, and Decertification strategy, implementation plan, and funding Jun-12 Sep-12 Tequila Level 2 X X approach fully developed 92 ** 4.2 Qualified Plan Certification, Recertification, and Decertification business process model and functional capabilities Jun-12 Sep-12 Tequila Level 2 X X pplicable certification documents (notices/solicitations, applications, agreements, etc.) drafted May-12 Sep-12 Tequila Level 2 X X Multi-year issuer engagement capabilities that include outreach, education, helpline, , 4.7 technical assistance, training, May-12 Jan-13 Tequila Level 2 X X X X accreditation, and compliance monitoring Negotiations and contracting with Plan Issuers Oct-12 Jan-13 Tequila Level 2 X X Certification of Qualified Plans Jan-13 Jun-13 Tequila Level 2 X X Training for health plans to become Qualified Plans Oct-12 Mar-13 Tequila Level 2 X X Qualified Plan compliance monitoring capabilities for products inside and outside the Exchange Jan-14 Mar-14 MI Level 2 X Quality Rating System May-12 Dec-14 Level 1 & 2 X X X X X X X X X X X Plan quality rating functional requirements defined May-12 Dec-12 Tequila & Kevin Level 2 X X X 100 ** 4.8 Exchange website has quality rating posted Jan-13 Dec-14 Tequila & Kevin Level 2 X X X X X X X X C Plan Quality Rating requirements and subsequent guidance incorporated into system requirements May-12 Jun-12 PMO Level 1 X Page 6 of 17

7 # V. Programmatic Financial Management Level 1 & 2 dvance Premium Tax Credits and Cost-sharing Reductions May-12 Jan-13 Level 1 X X X X dvance Premium Tax Credits and Costsharing 102 ** 8.0 Reductions business process model and functional capabilities May-12 Jan-13 Kevin Level 1 X X X X Individual Billing & Collections (Contigent on Billing & Collections Study) Jan-12 Nov-12 Level 1 & 2 X X X X Definition of requirements for systems and program operations to process individual billing and collections Jan-12 Nov-12 Leslie & Kevin Level 1 X X X X Individual billing and collections: program description, implementation plan, and strategy developed Jan-12 Nov-12 Leslie & Kevin Level 1 X X X X Individual billing and collections business process model and functional capabilities May-12 Nov-12 Leslie & Kevin Level 2 X X X Risk djustments, Reinsurance, & Risk Corridors (3R's) pr-12 Jan-13 Level 2 X X X X VI. Small Business Health Options Program (SHOP) Definition of requirements for systems and program operations for 3R's 3R's Program description, implementation plan, and strategy developed 3R's business process model and functional capabilities SHOP Exchange-specific Functions Jun-11 Dec ** 6.0 Determining approach to establishing a SHOP Exchange and its relationship to the Individual market Exchange Requirements for SHOP systems, business process model and functionality defined: pr-12 Sep-12 Tequila / MI Level 2 X X May-12 Nov-12 Tequila / MI Level 2 X X X May-12 Jan-13 Tequila / MI Level 2 X X X X Planning; Level 1 & 2 Planning; Level 1 & 2 Jun-11 pr-12 MHBE Planning X X X X X X X X X X X X X X X X X X X X 110 ** ** Eligibility business process model + Rolling Enrollment + Special Enrollment Periods + SHOP role in premium billing + Plan Management business process SHOP Program description, implementation plan, and strategy developed May-12 Jun-12 Kevin/PMO Level 1 X Jan-12 Jul-12 Kevin Level 1 X X X Page 7 of 17

8 112 ** ** 6.0 Refined definition of requirements for systems and program operations for Sep-12 Nov-12 Kevin Level 1 X X SHOP SHOP business process model and functional capabilities May-12 Jan-13 Kevin Level 1 & 2 X X X X 114 ** 6.0 Enrollment of employees of small employers into Qualified Plans Oct-13 Dec-14 MHP Level 1 & 2 X X X X X VII. Organization & Human Resources Level 1 & 2 Staffing Mar-11 Dec-14 Level 1 & 2 X X X X X X X X X X X X X X X X Initial staffing plan and organizational chart developed and approved Mar-11 Jun-11 Rebecca Level 1 X X Core Exchange Staff (Executive Director; Chief Information Officer; Director of Policy; Director of Plan Management; Director of Operations; Legal Counsel (); Director of Communications; etc.) hired Mar-11 Dec-11 Rebecca Level 1 X X X X Organizational chart(s) & staffing plan for 2013 through 2015 created Mar-12 Jun-12 Rebecca Level 1 X X Exchange acquisition of staff to meet operational demand Mar-12 Dec-14 Rebecca Level 1 & 2 X X X X X X X X X X X X VIII. Finance and ccounting Level 1 & 2 Corporate Financial Management Jan-12 Jun-12 Level 1 & 2 X X Definition of requirements for finance & accounting systems and operations Jan-12 May-12 Leslie Level 1 X X Finance & accounting business process 120 ** 8.0 model and functional capabilities May-12 Jun-12 Leslie Level 1 & 2 X MOU for management of grant funding with DHMH Mar-12 May-12 Leslie Level 1 X X Long term operational cost, budget, management plan, and cost allocation plan between the Exchange and other gencies/programs (e.g. CHIP, Medicaid, etc.) developed Jan-12 pr-13 Leslie Level 1 & 2 X X X X X X Financial Sustainability ug-11 Jan-15 Level 1 & 2 X X X X X X X X X X X X X X Financial Sustainability ssessments & Studies Completed ug-11 Dec-12 Rebecca Level 1 & 2 X X X X X X Definition of requirements to achieve financial stability by 1/1/2015 ug-11 Dec-12 Rebecca Level 1 & 2 X X X X X X Plan to transition from a grant and State funded operating model to a revenue generating, financially self-sustainable, operating model May-12 pr-13 Rebecca Level 1 X X X X X Page 8 of 17

9 Legislature approves financial sustainability plan and is incorporated into Jan-13 pr-13 Legislature Level 2 X X 2013 legislation Financially sustainable business model May-12 Jan-15 Rebecca Level 2 X X X X X X X X X X X IX. Technology (HIX) INV,L1,L2 ate Reviews / s Sep-11 Dec-14 INV,L1,L2 X X X X X X X X X X X X X X 128 ** 9.1 PSR & PBR Sep-11 Sep-11 PMO Innovator X 129 ** 9.1 PSR Sep-11 Sep-11 PMO Level 1 X 130 ** 9.1 DDR Oct-11 Oct-11 PMO Innovator X 131 ** 9.1 R Oct-11 Oct-11 PMO Level 1 X 132 ** 9.1 PBR Sep-11 Sep-11 PMO Level 1 X 133 ** 9.1 Integrated, Data and rchitecture Design Review Oct-11 Oct-11 PMO Innovator X 134 ** 9.1 PDDR (PDC) Jan-12 Jan-12 PMO Level 1 X 135 ** 9.1 DDR (DDC) ug-12 ug-12 PMO Level 1 X 136 ** 9.1 FDDR Dec-12 Dec-12 PMO Level 1 X 137 ** 9.1 PORR (PORC) pr-13 pr-13 PMO Level 1 X 138 ** 9.1 ORR Jul-13 ug-13 PMO Level 1 X 139 ** 9.1 OR Dec-14 Dec-14 PMO Level 1 X Concept Planning & Design May-11 Jul-12 Level 1 X X X X X X 140 ** ** ** ** ** ** ** ** 12.0 Preliminary IT P nalysis of existing systems and future system needs Review of product feasibility, viability, and alignment with Exchange program goals and objectives Business & functional requirements documentation (including system design, interface control, data management, database design, integration framework) Information Security Risk ssessment Project Schedule and Systems Development Lifecycle Implementation Plan IT and integration architecture finalized; Final business requirements and Interim detailed design and system requirements documentations Project/System Baseline Reviews Procurement strategy, RFPs, Contracting, and on boarding of systems vendors ug-11 ug-11 PMO Level 1 X ug-11 ug-11 PMO Level 1 X Jun-11 Jun-12 PMO Level 1 X X X X X Nov-11 Dec-11 PMO Level 1 X Dec-11 Jan-12 PMO Level 1 X X Jun-11 Jun-12 PMO Level 1 X X X X X Nov-11 Jan-12 PMO Level 1 X X May-11 Mar-12 PMO Level 1 X X X X Page 9 of 17

10 148 ** 9.0 Planning & requirement validation Mar-12 Jun-12 PMO Level 1 X X 149 ** 9.0 Interim IT ap nalysis pr-12 pr-12 PMO Level 1 X 150 ** ** ** 9.0 Preliminary Detailed Design Review Refinement of planning and requirements documentation (including system design, interface control, data management, database design, systems integration) Detailed Design Review and Systems Requirement Documentation Jan-12 Mar-12 PMO Level 1 X pr-12 Jul-12 PMO Level 1 X X Mar-12 May-12 PMO Level 1 X X 153 ** 9.0 IT ap nalysis Jul-12 Jul-12 PMO Level 1 X Pre-Certification Sprints Jun-12 Nov-12 Level 1 X X X 154 ** 9.0 Consolidated Sprint 1 E&E: Intake and Registration, -Customize customer screening scripts PM: 1. Implement OOTB features - Plan Presentment: Jun-12 Jul-12 PMO Level 1 X X (To select Qualified Plan, usability of Plan dvisor) 2. Integration with EXCT/Cúram 155 ** 9.0 Consolidated Sprint 2 E&E: User Survey Landing Page Pre- screen CM: CRES/ Cúram Interface PM: 1. Configuration OOTB specific for Jul-12 ug-12 PMO Level 1 X MD - Plan Presentment: 1.1) To filter, sort; select multi-family Qualified Plan/Medicaid/CHIP, 1.2) Select plans from prescreen page 156 ** 9.0 Consolidated Sprint 3 E&E: Enrollment Notices CM: - Caseworker entry of evidence - Workflow implementation - Case Ownership and llocation PM: 1. pplication info intake from Curam (anonymous shopping) 2. Setup initial enrollment process ug-12 Sep-12 PMO Level 1 X Page 10 of 17

11 157 ** ** 9.0 Consolidated Sprint 4 E&E: Eligibility Determination Non- CRES interface CM: Organization structure, Security and location setup Sep-12 Oct-12 PMO Level 1 X X PM: 1. Plan Mgmt - Load Provider directory 2. Enrollment - Setup open enrollment process Consolidated Sprint 5 E&E: Manual verification pplication Notices, Case worker entry and calculation CM: Verification Tax Credit/Subsidy calculation, Verification of repopulated data by the costumer PM: 1. Plan Mgmt - 1.1) Set up approval process 1.2) Clean up Provider directory 2. Enrollment - Setup special enrollment process Oct-12 Nov-12 PMO Level 1 X Unit Level Testing Oct-12 Nov-12 Level 1 X 159 ** 9.0 Testing of all Pre-Certification components including data, interfaces, performance, security, and infrastructure Oct-12 Nov-12 PMO Level 1 X Exchange Blueprint / Certification Jun-12 Jan-13 Level 1 X X X X 160 * 161 * Letter of Intent for Exchange Blueprint submission the HHS Exchange Blueprint submission to CMS for approval Jun-12 Jul-12 Danielle Level 1 X X Sep-12 Nov-12 MHBE Level 1 X X 162 ** 10.0 Exchange Federal Security Certification Jan-13 Jan-13 PMO Level 1 X EXCHNE BLUEPRINT / CERTIFICTION PPROVL Nov-12 Feb-13 Level 1 & 2 X X Post-Certification Rapid ccess Deployments (RD) Jul-12 Jul-13 Level 1 X X X X X 163 ** 9.0 Consolidated Sprint 6 E&E: Manual verification pplication Notices, Case worker entry and calculation CM: Verification Tax Credit/Subsidy calculation, Verification of repopulated data by the costumer PM: 1. Plan Mgmt - 1.1) Refine approval process 1.2) SERFF integration 2. Financial collection Nov-12 Dec-12 PMO Level 1 X Page 11 of 17

12 # Consolidated Sprint 7 E&E: ppeals Eligibility Determination CM: Verification 164 ** 9.0 Federal Data hub integration Dec-12 Jan-13 PMO Level 1 X X State Data hub integration PM: 1. Plan Mgmt - SERFF integration 2. Financial collection Consolidated Sprint 8 E&E: Eligibility Determination CM: ccount/ Case Management 165 ** Costumer account management Jan-13 Mar-13 PMO Level 1 X - Case udit PM: 1. Plan Mgmt - SERFF integration 2. Financial collection 166 ** 9.0 Consolidated Sprint 9 E&E: Eligibility Determination - Customer updates/modifies account info - Cust. Edit &updates search criteria - Caseworker maintains Case Notes, Case Priority, Case - Case Determination Multi language HIX CM: ccount/case Management - Customer account management - Change in circumstances entry, managemnt cerification - Customer updates/modifies account info - Customer creates account - Customer creates life event PM: 1. Clean up 2. Financial collection Mar-13 pr-13 PMO Level 1 X X 167 ** 6.0 SHOP technology enablement Jul-12 Jul-13 PMO Level 1 X X X X X Unit Level Testing pr-13 Jun-13 Level 2 X 168 ** 9.0 Testing of all Post-Certification components including data, interfaces, performance, security, and infrastructure pr-13 Jun-13 PMO Level 2 X Pre-Operational Readiness Review Mar-13 May-13 Level 1 X X 169 ** 9.0 Pre-Operational Readiness Review (PORR) pr-13 pr-13 PMO Level 1 X 170 ** 3.2 Verify the ll Inter/Intra-gency greement(s) finalized and suitable to Mar-13 pr-13 Kevin Level 1 X X support opperational needs 171 ** 9.0 Implementation (Deployment) Plan pr-13 pr-13 PMO Level 1 X 172 ** 9.0 Operations & Maintenance Manuals created pr-13 May-13 PMO Level 1 X Page 12 of 17

13 Integration Testing pr-13 Jun-12 Level ** 9.0 End to End / Integrating Testing pr-13 Jun-12 PMO Level 1 Operational Readiness Review Jun-13 Jan-14 Level 1 X X X X 174 ** 3.3 pplications and notices (stakeholder review, testing, translation of content, etc.) finalized Jun-13 Jun-13 PMO Level 1 X 175 ** ** 2.5 pplications and notices are used to support eligibility and enrollment process Information website and Exchange calculator launched Jun-13 Jan-14 PMO Level 1 X X X X Jun-13 Jun-13 PMO Level 1 X 177 ** 4.8 Comparison tool with pricing information launched w/o online enrollment function Jun-13 Jun-13 PMO Level 1 X 178 ** 4.8 Launch fully-functional comparison tool with pricing information and online enrollment functionality on the first day of open enrollment Oct-13 Oct-13 PMO Level 1 X 179 ** 4.8 Quality rating system information posted on website Jun-13 Jun-13 PMO Level 1 X 180 ** 2.4 Call center functionality and number launched Jun-13 Jun-13 PMO Level 1 X 181 ** 9.0 Plan readiness reviews/activities (e.g., test enrollment interfaces and financial reconciliation, review materials, test Jun-13 Jun-13 PMO Level 1 X financial reconciliation, cross functional implementation sessions) 182 ** 3.2 Eligibility determinations for Other pplicable State Subsidy Programs (OSHSPs), coordinating all relevant business functions, and receiving referrals Jun-13 Jun-13 PMO Level 1 X from OSHSPs for eligibility determination 183 ** 3.2 Exchange open enrollment detailed coordination plan which includes Medicaid Jun-13 Jun-13 PMO Level 1 X and OSHSPs 184 ** 9.0 Preparation and Deployment of Systems Components to Production Environments Jun-13 Jun-13 PMO Level 1 X Independent Verification & Validation (IV&V) Sep-12 Oct-13 Level 2 X X X X X X Pre-Certification IV&V Sep-12 Dec-12 IV&V Level 2 X X Post-Certification IV&V Jul-13 Oct-13 IV&V Level 2 X X IV&V Final Reporting Oct-13 Oct-13 IV&V Level 2 X HIX O LIVE! Jul-13 Jul-13 Level 1 & 2 X Page 13 of 17

14 188 ** ** 9.0 Processing exemptions from individual responsibility requirements and payment and reporting to HHS on outcome of Oct-13 Dec-14 PMO Level 2 X X X X X determinations conduted Submission of tax credit and cost-sharing reduction information to Qualified Plan issuers and HHS conducted Oct-13 Dec-14 PMO Level 2 X X X X X Qualified Plan Enablement Jul-13 Jul-13 Level 1 X 190 ** 4.0 Plan management and bid evaluation system which allows upload of qualified health plan bids and other required information launched Jul-13 Jul-13 PMO Level 1 X OPEN ENROLLMENT Oct-13 Mar-14 Level 2 X X 191 ** 3.0 Open enrollment into qualified health plans (Qualified Plans) Oct-13 Mar-14 PMO Level 2 X X 192 ** 3.0 Notifying employers in coordination with eligibility determinations for Notification and ppeals of Employer Liability for the Employer Responsibility Payment Oct-13 Mar-14 System Level 2 X X Operations & Maintenance Jan-14 Dec-14 Level 2 X X X X 193 ** 9.0 Disposition: knowledge transfer, project/contract closure, lessons learned, and document archival Jan-14 Dec-14 PMO Level 2 X X X X 194 ** 9.0 Production Support (Warranty & Maintenance) executed Jan-14 Dec-14 PMO Level 2 X X X X X. Privacy & Security Federal pproval & ccreditation Nov-12 Jan-13 X X CMS Exchange Blueprint pproval Nov-12 Jan-13 PMO X X Federal Security Certification Nov-12 Jan-13 PMO X X 197 ** 10.3 Exchange Federal Security ccreditation Nov-12 Jan-13 PMO X X 198 ** 10.3 Safeguard Procedures Report developed and accepted by IRS Nov-12 Jan-13 PMO X X Privacy Impact ssessment (PI) developed and submitted Nov-12 Jan-13 PMO X X XI. Contracting & Outsourcing Level 1 & 2 HIX Related Contracts Oct-11 Jan-14 Level 1 & 2 X X X X X X X X X X PMO contractor selected and on-boarded Oct-11 Jan-12 Kevin Level 1 X X Core HIX System implementation contractor(s) (software, development, integration, maintenance, & post production enhancement) selected and onboarded Dec-11 Mar-12 Kevin Level 1 X X Page 14 of 17

15 Business Process consultant selected and on-boarded PMO contractor extension negotiated and approved SHOP contractor(s) (software, development, integration, maintenance & TP Certification System) selected and on-boarded Requirements management tool selected and procured Systems Integration contractor(s) (e.g. CRES, MMIS, & Others) selected and on-boarded Jun-12 Jul-12 Kevin Level 1 X X Mar-13 Jul-13 Kevin Level 1 X X X pr-12 Jul-12 Kevin Level 2 X X Jul-12 Oct-12 Kevin Level 2 X X Jun-12 Sep-12 Kevin Level 2 X X IV&V contractor selected and on-boarded May-12 ug-12 Kevin Level 2 X X Data Management & Reporting contractor(s) selected and on-boarded Mar-13 Jun-13 Kevin Level 1 X X ETL tool licenses procured Mar-13 Jun-13 Kevin Level 1 X X Production Data Center Services contractor(s) (disaster recovery,help desk, network, security, hardware, software, monitoring, telecom/connectivity, storage management, server hosting) selected and services procured Oct-12 Jul-13 Kevin Level 2 X X X X Core HIX COTS software and systems maintenance procured Oct-13 Jan-14 Kevin Level 2 X X Consumer & Partner ssistance Contracts May-12 Jun-13 Level 1 & 2 X X X X X Call Center assessment consultant selected and on-boarded May-12 ug-12 Leslie Level 2 X X Call Center vendor selected and onboarded Oct-12 Jan-13 Leslie Level 2 X X Call Center Connectivity contractor selected and on-boarded Dec-12 Mar-13 Kevin Level 2 X X Customer Service Rep (CSR) Software licenses procured Mar-13 Jun-13 Kevin Level 2 X X Customer Outreach contractor selected and on-boarded Jun-12 Sep-12 Kevin Level 2 X X Customer Kiosk contractor (kiosk installs, setup, & maintenance) selected and onboarded Dec-12 Mar-13 Kevin Level 2 X X User Training contractor selected and onboarded Sep-12 Dec-12 Danielle Level 2 X X dditional Navigator functionality (e.g. credential & training mgmt.) procured Oct-12 Jan-13 Kevin Level 2 X X Billing and Collections consultant selected and on-boarded May-12 ug-12 Kevin Level 2 X X Page 15 of 17

16 Billing and Collections contractor selected and on-boarded Banking / Cash Management Services contractor selected and on-boarded Oct-12 Jan-13 Kevin Level 2 X X Oct-12 Jan-13 Leslie Level 2 X X Business Operations consultant selected Jun-12 Jul-12 Leslie Level 2 X X and on-boarded Operations dministration & Services Contracts May-11 Jun-13 Level 1 & 2 X X X X X X X X X Branding and Website contractor selected 224 ** 12.1 May-11 ug-11 MHBE Level 1 X X and on-boarded Exchange long-term lease Jun-12 Dec-12 Leslie Level 1 & 2 X X X IT Help Desk support services Jun-12 Dec-12 Kevin Level 1 & 2 X X X Internet services and support procured Jun-12 Dec-12 Kevin Level 1 & 2 X X X Network hardware and management support services procured Security and ccess Control Management services procured Network Servers, File Mgmt. & Storage hardware and support svcs. procured nti-virus / Intrusion Protection services procured Document Management application procured File Collaboration Environment (e.g. SharePoint) software and support services procured Secure Network Storage and File Management services procured Jun-12 Dec-12 Kevin Level 1 & 2 X X X Jun-12 Dec-12 Kevin Level 1 & 2 X X X Jun-12 Dec-12 Kevin Level 1 & 2 X X X Jun-12 Dec-12 Kevin Level 1 & 2 X X X Mar-13 Jun-13 Leslie Level 1 X X Jun-12 Sep-12 Kevin Level 1 X X Jun-12 Dec-12 Kevin Level 1 & 2 X X X sset management app. procured Mar-13 Jun-13 Leslie Level 2 X X services and support procured Jun-12 Dec-12 Kevin Level 1 & 2 X X X Long-term mobile services and support procured Long-term telephony and voic services procured Long-term office productivity hardware and software supplier(s) selected Jun-12 Sep-12 Kevin Level 1 & 2 X X Sep-12 Dec-12 Leslie & Kevin Level 1 & 2 X X ug-12 Dec-12 Leslie & Kevin Level 1 & 2 X X dvertising & Public Relations Contracts ug-12 Oct-12 Level 2 X X dvertising contractor selected and onboarded ug-12 Oct-12 Danielle Level 2 X X Public Relations contractor selected and on-boarded ug-12 Oct-12 Danielle Level 2 X X Miscellaneous Jun-12 Jun-13 Level 2 X X X X X Reinsurance and Data Collection contractor selected and on-boarded ug-12 Dec-12 Tequila & MI Level 2 X X Page 16 of 17

17 # Network dequacy modeling contractor selected and on-boarded Mar-13 Jun-13 Tequila Level 2 X X Performance evaluation consultant selected and on-boarded Jun-12 Jul-12 Leslie Level 2 X X XII. Regional & Subsidiary Exchanges Level 1 & 2 Reusability & Scalability Jul-12 Dec-14 Level 1 & 2 X X X X X X X X X X ssessment to determine the feasibility of the MD HBE transforming into a regional service provider; establishing subsidiaries; or providing HBE services & support to other States Jul-12 Dec-14 Kevin Level 1 & 2 X X X X X X X X X X XIII. Oversight, Monitoring, and Reporting Level 1 & 2 Fraud, Waste, & buse (FW&) pr-12 Jan-13 Level 1 & 2 X X X X Definition of requirements for systems and program operations to monitor FW& pr-12 Nov-12 Leslie & OI Level 1 X X X FW& Program description, implementation plan, and strategy pr-12 Nov-12 Leslie & OI Level 1 X X X developed FW& Program presented to eneral ssembly Nov-12 Dec-12 Rebecca Level 2 X 249 ** 11.1 FW& business process model and functional capabilities May-12 Jan-13 Leslie Level 2 X X X X Performance Evaluation May-12 Nov-12 Level 1 & 2 X X X Performance evaluation description, implementation plan, and strategy May-12 Nov-12 Leslie Level 1 &2 X X X developed Definition of requirements for systems and program operations to monitor operational May-12 Nov-12 PMO Level 1 & 2 X X X performance Performance evaluation business process model, metrics, benchmarks, standards May-12 Nov-12 Leslie Level 2 X X X and dashboard Performance evaluation balanced scorecard developed and shared with key stakeholders May-12 Nov-12 Leslie Level 1 & 2 X X X Independent External udit Oct-12 Dec-12 Level 1 & 2 X Independent external financial audit plan Oct-12 Dec-12 Rebecca Level 1 X Page 17 of 17