Board Meeting. IT Updates. February 21, Presented by: Subramanian Muniasamy CIO, MHBE
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1 Board Meeting February 21, 2017 IT Updates Presented by: Subramanian Muniasamy CIO, MHBE
2 Agenda IT Dashboard by Category OE 2017 Infrastructure Statistics MCO Shopping Project Timeline MCO Shopping Execution Approach CRM Salesforce Project Timeline CRM Salesforce Execution Approach Q and A
3 Special Projects Enhancements M&O Releases IT Dashboard FEB Highlights - MD HBX Activities Title II income check Attestation of incarceration Audit trail improvements XML based payment file submission Unscheduled redetermination for Medicaid JUN Complete On-Track Planned At Risk Update online application income pages Use Non-ESI MEC call for Medicaid Medicaid and QHP defect fixes QHP 834 override functionality for escalated cases Electronic transfer of Voter Registration JUL Prioritization in progress with a focus on defect fixes APR JUL SEP DEC Technology migration ForgeRock/SailPoint, EDB Postgres, Content Manager (Mongo DB) Implement PARIS Interface Implement Salesforce CRM Phase 1 includes HBX and PROMIS MCO Plan Shopping Provider Directory Integration 834 transactions for Medicaid Auto-assign MCO if not selected CRM Phase 2 DHMH Integration Application tracking Case Management and tracking Grievances and Appeals PMO activities, Security and Operations Eligibility and Enrollment Validation, Error Handling, 1095 A reconciliation Continue to enhance the CMS, IRS and other stakeholder reporting Continue to track the deliverable, schedule and operations etc.. Track H36 Monthly IRS Reporting andh41- Annual IRS Reporting and 1095 A corrections underway Mobile app usage metrics OE
4 by Category TARGET DEPLOYMENT ACTIVITY OPERATIONAL EFFICIENCY COMPLIANCE COST SAVINGS FEBRUARY 2017 APRIL 2017 Allow consumers to cancel changes before submission of the application Improve audit trail capabilities Reduce the number of calls being made to the HUB Attestation of Incarceration XML based payment file submission to IRS Unscheduled redeterminations for MA Title II income check Check for Non-MAGI coverage for MA recipients at renewal Technology Replacement- EDB Postgres, Mongo DB, SailPoint IdentityIQ, ForgeRock Open AM PARIS Interface integration JUNE override functionality for escalated cases and error resolution Update the online application income screens to improve consumer experience and reduce incorrect reporting of income Electronic transfer of Voter Registration information to State Board of Elections Implement Non-ESI MEC call for Medicaid On a monthly basis, check the MAGI Medicaid population for Non-MAGI coverage
5 OE 2017 Infrastructure Utilization 1. HBX servers performed well within the thresholds 2. Peak Concurrent Users : Peak Mobile Users : 350
6 MCO Shopping Project Timeline Application demonstration SEPGo Live & Scope Development with MMIS Training NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP Design INT/UAT/Art Negative with MCOs
7 MCO Shopping Execution Approach SPRINT 1 Application Functional Area Initial Application Processing Mobile Integration Interface/ Batches Security Functions Data Conversion / Reports N/A CRISP Interface, Notices related to MCO eligibility Access control for SVN and database Provider data migration from CRISP SPRINT 2 Processing a change report on an application. Initial Application Processing MMIS Interfaces, Notices related to MCO enrollment Role Based Access control for application functions Stakeholder Reports SPRINT 3 Integration of Provider directory to support the MCO selection Processing a change report on an application. Updates to the existing Notices for the text changes MCO Interfaces (834 Generation ) Secure access control and encryption for PHI information( HSNI) Executive reports SPRINT 4 Auto assignment of MCO and Reenrollment Integration of Provider directory to support the MCO selection Art Negative Interfaces to support MCO correspondence HSNI Interface Roles configuration to access application for MCO selection Data migration for existing MCO consumers SPRINT 5 Test and Fix Mode Auto assignment of MCO and Reenrollment DHMH Eligibility interface to consume MCO eligibility MCO/DHMH reconciliation reports HSNI Health Service Needs Information CRISP Chesapeake Regional Information System for Patients PHI Protected Health Information MCO Managed Care Organization
8 CRM Salesforce Integration Project Timeline 7 Solution migration GO LIVE 1 and Scope 3 Design and Development 5 UAT JAN FEB MAR APR MAY JUN JUL AUG 2 Data cleansing for migration 4 System integration 6 User Training Post-deployment support 8
9 CRM Salesforce Execution Approach SPRINT 1 Build/Configure Integration Convert Data and Generate Reports Configure Cases, Contacts and all custom objects Set up of Integration Sandboxes Complete Data Extraction from Oracle CRM Test, Train and Deploy Set up Environment SPRINT 2 Configure Case Assignment and Escalation Rules LMS Integration & Analysis/Design of CTI Integration Field Mapping and Conversion Strategy Defined UAT Sprint 1 SPRINT 3 Set up of Alerts and Task Management Design of HBX Integration & Environment Set up Design Data Archival Solution and Develop Environments UAT Sprint 2 Stakeholder Sprint 1 SPRINT 4 Set up Roles, Profiles and Data Security Model Build HBX Integration Data Cleansing Strategy Defined and Implemented UAT Sprint 3 Stakeholder Sprint 2 SPRINT 5 Set up Knowledge Base, 2Case, Web2Case Build CTI Integration* Pilot Data Migration with Complete Data Set to identify Challenges UAT Sprint 4 Stakeholder - Sprint 3 SPRINT 6 Build Identified Visualforce Pages & Enhance User Experience Complete Build and Deploy Integration to Test Environment Build Reports and Dashboards UAT Sprint 5 Stakeholder Sprint 4 SPRINT 7 Integrate All Modules and Go Live Deployment All Bugs fixed and Deploy Integration to Production Data Cleaned, Archived and Perform Go Live Data Migration End to End and Stakeholder Training and Approval
10 Q and A
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