IT Updates. Maryland Health Benefit Exchange Board Meeting April 15, Presented by: Isabel FitzGerald Secretary, DoIT

Transcription

1 IT Updates Maryland Health Benefit Exchange Board Meeting April 15, 2014 Presented by: Isabel FitzGerald Secretary, DoIT A service of Maryland Health Benefit Exchange

2 Agenda Overview of process for CT transfer Major Milestones Timeline Current HIX 1

3 Process Overview We will be transferring the CT platform, deliverables and project artifacts To succeed by November, Maryland will have to accept the system asis with only minor retrofitting for branding, notices, interfaces (including with carriers and with the Medicaid system), and to accommodate Maryland specific rules Stakeholder Kick-off held 4/8/2014. Carrier kick-off will be scheduled in the next two weeks First task will be a fit gap analysis using conference room pilots Pilots will be broken out by functional area and started 4/10 The focus will be on changing only those items that we must. This means We will need to adjust business processes Parking lot anything that is a nice to have not a need to have 2

4 Process Overview We requested DHR, DHMH and MBE their best experts across policy and operations to participate in the sessions We have call center representatives and CE representatives Participants will need to prioritize this effort over other work dates will be set and cannot change Participants will need to follow the guidelines changes only for those things that are legally required and must be able to think outside of the current process that will change Carry information back to the larger group to share, and help each group think about how operations and business process may need to be adjusted The timeline for the project is aggressive must be tightly managed 3

5 Program and Project Management Approach Unifying delivery Enabling tools Global talent Inception Elaboration Construction Transition Enterprise Value Delivery for System Integration MD HBX SOW-011 Stand up the Project Management Office (PMO) Establish project governance Define reporting requirements and project dashboard(s) Develop application development project plan: including detailed tasks, work breakdown structures, milestones and deliverables Establish a schedule of meetings, reviews and communication plans Establish a process for and facilitate Gate Reviews with the CMS Deloitte Global Services Limited

6 Proposed Timeline Timeframe Activities April 30, 2014 Procure non-production software licenses Finalize CT software transfer MOU Issue Task Order 1 Data Center, Hosting and Disaster Recovery Establish sandbox environment with running version of CT HBX May 15, 2014 Establish development environment Receive Federal Hub credentials and test initial Hub connectivity Execute conference room pilot sessions Complete draft version of gap analysis June 1, 2014 Complete conference room pilots and gap analysis for CT transfer items Finalize deliverable schedule and contingency plan June 15, 2014 Document MD MMIS data exchange design Demonstrate integration with Federal Hub services in lower environment Establish integration and user acceptance testing environments CMS Gateway Review: Design July 15, 2014 Establish Staging / Performance and Training environments August 15, 2014 Carrier integration testing begins MMIS integration testing begins September 1, 2014 Establish MD HBX Production environment and connectivity UAT for PM begins Perform initial plan data upload Performance testing CMS Gateway Review: Operational Readiness September 15, 2014 UAT for E&E begins Train-the-trainer training begins Third Party Security Assessment / Testing Contingency Plan reviewed and updated October 1, 2014 Plan Management goes live User training begins November 15, 2014 Eligibility and Enrollment goes live 5

7 Project Timeline Release 1: Plan Management Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Fit Gap Assessment Elaboration Configuration/ Develop & Unit Testing System, Performance, Integration Test UAT 10/1/14 R1 Go Live Train Release 2: Eligibility & Enrollment, Citizen Selfservice, and Exchange Worker Portal Features Fit Gap Assessment Elaboration Configuration/ Develop & Unit Testing System, Performance, Integration Test UAT 11/15/14 R2 Go Live Open Enrollment Starts 1/15/15 R2 Go Live Open Enrollment Ends Train Post-go live warranty support activities Future Releases: Non-MAGI Medicaid, Other MD-Specific Features Gap Analysis and Requirements Elaboration Configuration/ Develop & Unit Testing Indicative Timeline for Release 3 not included within this SOW response MD_HBX_SOW Deloitte Global Services Limited

8 Fit-Gap Approach Perform Fit-Gap Assessment Review Fit-Gap Results Conference Room Pilot Demonstrate business functions and common scenarios of the CT HIX application in a conference room setting Foundation Functions Facilitate review of non-visual functions like eligibility rules, interfaces, components, and requirements Technology Architecture Review CT HIX hardware, software, security architecture, and Maryland capacity requirements Deloitte Global Services Limited

9 Fit-Gap Assessment Timeline April 2014 May 2014 Week of Project Kick-Off 8 Apr 2014 Conference Room Pilot Sessions High Level Fit -Gap Session Foundation Functions Technology Architecture Next Steps Detailed Fit-Gap Session Detailed Fit-Gap Session Plan for the Next Phase Deliverables Project Management Plan Requirements Document Initial Capacity Plan Integrated Work Plan Gap Analysis Deloitte Global Services Limited

10 Objectives and Scope Objectives Deloitte will work with Maryland Health Benefits Exchange (MD HBX) to transfer the Access Health Connecticut Health Benefit Exchange (CT HIX) solution by performing a Fit-Gap Analysis to ensure alignment of the CT HIX solution to all applicable Maryland state laws The Project solution will be implemented in three releases: Release 1 includes a Plan Management (PM) functionality which enables efficiencies in plan certification for plan year 2015 Release 2 includes a Eligibility and Enrollment (E&E) functionality which transfers citizen self-service features and Exchange worker portal features from the Connecticut solution to satisfy MAGI Medicaid provisions Future Releases includes other Maryland specific features Scope for Release 1 and Release 2 Transfer Plan Management (PM) functionality and enable efficiencies in plan certification for plan year 2015 from Connecticut solution Transfer Eligibility and Enrollment (E&E) functionality, citizen self-service features, and Exchange worker portal features from Connecticut solution Include branding, interfaces, notifications, and regulations specific to Maryland Deloitte Global Services Limited

11 Team Structure Maintenance Isabel FitzGerald Justin Stokes PMO Support Optum Transfer Isabel FitzGerald Amanda Tate PMO Support Deloitte 10

12 What about the current HIX The current HIX will continue to be used Through 4/18 we will take special enrollments as well as anyone that self attests that they were unable to get through by 3/31 due to technical difficulties Post 4/18 only special enrollments Functionality for life events is scheduled to be completed by May 3 rd After the May release, the focus will be on a smaller team that Produces reports and metrics Performs maintenance and operations Prioritizes and fixes defects Supports operational needs When the upgraded system comes live, the current HIX will be retired 11