Executive Steering Committee (ESC) Update Minnesota Eligibility Technology System (METS)
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1 INFORMATION TECHNOLOGY FOR MINNESOTA GOVERNMENT Executive Steering Committee (ESC) Update Minnesota Eligibility Technology System (METS) 9/27/2016 MN.IT Department of Human Services/MNsure MNsure s Accessibility & Equal Opportunity (AEO) office can provide this information in accessible formats for individuals with disabilities. Additionally, the AEO office can provide information on disability rights and protections to access MNsure programs. The AEO office can be reached via MNSURE ( ) or AEO@MNsure.org.
2 Summer 2 Release: Released into production on the weekend of September 9, 2016 Summer 2 release included: Renewal Functionality Improvements Notices improvements 2 9/27/2016
3 Fall Release: Eligibility System Upgrade This upgrade will contain new functionality, defect fixes and enhancements New Functionality: Eligibility Viewer Absence Evidence Addresses Evidence Evidence Dashboard Improvements to usability Improved screen reader usability for vision impaired users 3 9/27/2016
4 Fall Release Continued: Defect Fixes Enhancements: There are 47 defect fixes and enhancements included in the upgrade. Some of the visible defects fixes and enhancements include but are not limited to: Pregnant women eligibility determinations Enhancements to display information for newborns added to a case Out of state mailing address no longer causes ineligibility Enhancements for eligibility effective dates Fixes in support of monthly batch processes Removal of customization to use out-of-the-box functionality now bundled as part of the product 4 9/27/2016
5 Future Release Scheduled Work Scope: Staggered Renewals Reinstatement Assister Portal Unique Person ID Notices PRISM Iteration 3 5 9/27/2016
6 Future Off-cycle Release Work: Highlights of Upcoming off-cycle release work: 1095-A 1095-B Passive Renewals 834 and EDI ESOR MCRE Premiums MAXIS to METS Migration METS-MMIS Interface 6 9/27/2016
7 Work Incomplete Work Completed Work Currently Underway Work Waiting Approval = Mega Project Spring Release Summer Release #1 Notices Renewals Functionality Unique Person ID / ID Matching METS-MMIS Interface Functionality PRISM Iteration 2 Caseworker Functionality Missing Task Functionality MinnesotaCare Invoicing Enrollment Data: Carrier integration and federal reporting: 1095-A; 1095 IRS & CMS reports; 834 EDI file testing and production; enrollment data reconciliation with carriers 1095-B Reporting METS Data Fixes Security Enhancements: Compliance & Audits Security Enhancements: Multi-Factor Authentication enhancements Periodic Data Match Caseworker incorrect contact information fix (Curam) Connecture Dental Plan Utility Summer Release #2 Renewal Functionality Improvements All Programs Notices Federal Poverty Limit (FPL) MCRE & IA / UQHP income update Special Enrollment Period support Open Enrollment Period support METS Data Fixes Ongoing Efforts Fall Release Eligibility System Upgrade (IBM/Curam) 2017 QHP Marketplace Set-up Reporting Public Program Reconciliation Carrier/METS Data Reconciliation Winter Release Reinstatement Ability to reopen a case Assister Portal Phase 2 Unique Person ID Phase 1 Notices PRISM Iteration 3 7 9/27/2016
8 STST System testing environment. The first step in testing code and projects to ensure functionality is as expected at the technical level. STST 2 Second system testing environment which allows for more code and projects to be tested at the same time. ATST User acceptance testing. Final step in testing code and projects before release to ensure functionality is as expected at a user experience level. PROD Deploy to production. 8 9/27/2016
9 Work Incomplete Work Completed Work Currently Underway Work Waiting Approval = Mega Project May-July August-September October-December January-February A Corrections and VOIDs 1095-A code fixes Effectuation, A monthly files to IRS Effectuation, A monthly files to IRS More Enrollment Data Online Automation of A Corrections and VOIDs Effectuation, A monthly files to IRS SBM PLR SHOP 1095-A 2017 CMS SBMI Production of the A forms to consumers Production of the B forms to consumers Additional Information needed from Curam to ESOR Data 9 9/27/2016
10 Work Incomplete Work Completed Work Currently Underway Work Waiting Approval = Mega Project August-September ID Standardization Improved scheduling within ESOR ESOR Graphical User Interface improvements October-December Coverage System of Record improvements SEP GUI ESOR Graphical User Interface V. 3 Passive Renewals 834 Electronic Data Interchange (EDI) Fixes Automate delivery of EDI files to Carriers Business Transaction Report (BTR) 10 9/27/2016
11 Work Incomplete Work Completed Work Currently Underway Work Waiting Approval = Mega Project May-July August-September October-December January-February 2017 MCRE Premiums METS-MMIS Interface Functionality Federal Poverty Limit (FPL) MA income updates Defect Fixes regarding Medicaid coverage of pregnant / post-partum women and newborns METS-MMIS Interface Functionality MCRE Premiums MAXIS to METS Migration, MAGI population METS-MMIS Interface Functionality MCRE Premiums MAXIS to METS Migration, MAGI population METS-MMIS Interface Functionality MCRE Premiums 11 9/27/2016
12 Project status as of 9/23/2016 Project Name Scope Schedule Issue Risk Overall 1095 Projects Green Green Green Green Green 1095-B Phase 2 Green Green Green Green Green 2017 Marketplace Set-up Green Green Green Green Green Assister Portal Phase 2 Green Green Green Yellow Green Carrier Reconciliation Green Red Yellow Yellow Red Compliance/ Audits Green Green Green Green Green Curam Upgrade Green Yellow Green Yellow Yellow Data Access & Management (Reports) Green Green Green Green Green ESOR Project Green Green Green Yellow Green Infrastructure Improvements Green Green Green Green Green MAXIS to METS Migration Yellow Green Yellow Yellow Yellow MCRE Premiums - Premium Reconciliation Green Yellow Green Green Yellow MCRE Premiums Phase 3 Green Red Yellow Green Yellow METS/ MMIS Interface Green Green Yellow Green Green METS/Curam Data Work Green Green Green Green Green METS/Mnsure Connvertex M&O Green Green Green Green Green Notices Green Yellow Green Green Green Passive Renewals Green Yellow Green Yellow Yellow Periodic/ Annual Work Green Green Green Green Green PRISM Iteration 3 Green Yellow Yellow Green Yellow Program Reconciliation Green Green Green Green Green Reinstatement Red Red Yellow Red Red Staggered Renewals/MCRE Realignment Red Red Yellow Yellow Red UE/UI Online Application Green Green Green Yellow Yellow Unique Person ID - Winter 2016 Green Green Green Green Green 12 9/27/2016
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