Board Meeting. IT Updates. April 17, Presented by: Venkat R. Koshanam, CIO, MHBE

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1 Board Meeting April 17, 2017 IT Updates Presented by: Venkat R. Koshanam, CIO, MHBE

2 Agenda MHBE CIO Introduction IT Dashboard Key Functionalities by Category Technology Migration - Status MCO Shopping Integration - Status CRM and LMS Integration - Status MD THINK & MHBE Q & A

3 MHBE CIO Venkat R. Koshanam Chief Information Officer Maryland Health Benefit Exchange Over 22 years of IT experience including 7 years as CEO of an enterprise software solutions firm, strong educational background, diverse and hands-on IT experience Career Highlights Joined MHBE in May 2015 as PMO Director, successfully established IT Program Management function overseeing complex IT initiatives and budget of ~$35 million. Led the EDI Operations, Reporting, Quality Assurance and Special Projects functions. Promoted to Deputy CIO in September 2016 and CIO in March Over 22 years of hands-on IT experience in managing complex IT systems, leading diverse teams and overseeing multi-million dollar budgets. Bachelor of Science in Applied Science, Bachelor of Technology in Aerospace Engineering, Master of Science in Management of IT degrees and various industry standard certifications such as the PMP, PMI-ACP, ITIL, CISA, CSM, IT Benchmarking and Advanced Program Management from Stanford University.

4 Special Projects Enhancements M&O Releases IT Dashboard Status Planning Requirements Design / Dev. Testing Implementation FEB Highlights - MD HBX Activities Key Functionalities Title II income check Attestation of incarceration Audit trail improvements XML based payment file submission Unscheduled redetermination for Medicaid Status Planning Requirements Design / Dev. Testing Implementation JUN Complete On-Track Planned At Risk Key Functionalities Update online application income pages Use Non-ESI MEC call for Medicaid Coverage group changes Medicaid and QHP defect fixes QHP 834 override for escalated cases PARIS (Phase 2) SEP Planning Requirements Design / Dev. Testing Implementation Prioritization in progress with a focus on defect fixes Plan Certification Renewals APR JUL AUG DEC Status Key Functionalities Status Key Functionalities Status Key Functionalities Status Key Functionalities Planning Requirements Design / Dev. Testing Implementation Technology migration ForgeRock/SailPoint, EDB Postgres, Content Manager (Mongo DB) Implement PARIS Interface (Phase 1) Planning Requirements Design / Dev. Testing Implementation Implement Salesforce CRM Phase 1 includes HBX Integration Planning Requirements Design / Dev. Testing Implementation MCO Plan Shopping Provider Directory Integration Planning Requirements Design / Dev. Testing Implementation CRM Phase 2 DHMH Integration PMO, Security & IT Operations Audit & Compliance support EDI Operations,1095-A reconciliations Continuous improvements to the CMS, IRS, DHMH and other stakeholder reporting Program management support to various initiatives Quality Assurance and Test Automation initiatives Reports consolidation and BI initiatives Special Projects Mobile Release: Mobile release deployed on 04/01/2017 No issues reported from the users Salesforce CRM integration: Phase 1 Testing in progress Phase 2 Requirements Development on schedule MCO plan shopping integration: Requirements and Design completed Sprints 1 and 2 development completed

5 Key Functionalities by Category TARGET DEPLOYMENT APRIL 2017 ACTIVITY OPERATIONAL EFFICIENCY COMPLIANCE COST SAVINGS Technology Replacement- EDB Postgres, Mongo DB, SailPoint IdentityIQ, ForgeRock Open AM PARIS Interface integration JUNE 2017 AUGUST 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 MCO plan shopping integration Provide MCO selection functionality to enter Medicaid population through HBX Provide seamless and instantaneous enrollment for all MAGI Medicaid consumers Add ability for consumers to change MCOs directly using the online application without call center assistance Add ability for consumers to select their PCP along with MCO plan selection

6 Technology Migration Status REQUIREMENT GATHERING / PROOF OF CONCEPT DEVELOPMENT JUNE JULY AUG SEP OCT NOV DEC 2016 GO-LIVE New solution stack successfully deployed on April 2 TESTING POST DEPLOYMENT MONITORING STABILIZATION JAN FEB MAR APR MAY JUN 2017

7 MCO Shopping Integration - Status Application demonstration Go Live SEP Requirements & Scope Development Testing with MMIS Training NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP Design INT/UAT/Art Negative Testing Testing with MCOs Requirements and Scope Design Development Sprints 1 and 2 completed Stabilization and Monitoring

8 Salesforce CRM Integration - Status 7 Solution migration GO LIVE 1 Requirements and Scope 3 Design and Development 5 UAT JAN FEB MAR APR MAY JUN JUL AUG 2 Data cleansing for migration 4 System integration Testing 6 User Training Post-deployment support 8 Requirements and Scope Design completed Phase 1 Development completed Initial data extraction completed Testing Phase 1 in progress

9 LMS Implementation - Status Credentialling - Stakeholder signoff on Requirements 3/3/2017 Infrastructure set-up [Salesforce environment and communities] 11/4/2016 LMS Sprints begin 11/7/2016 LMS Sprints end 2/9/2017 Production Deployment 4/14/2017 End-to-end testing completed 3/21/2017 Post deployment support 5/26/2017 Nov Dec 2017 Feb Mar Apr May 2017 Environment set-up 11/7/2016 SPRINT 1 11/25/2016 Requirements gathering Communication channels LMS Sprints 11/28/2016 SPRINT 2 12/16/ /19/2016 SPRINT 3 1/16/2017 1/16/2017 SPRINTS 4 & 5 2/9/2017 Stakeholder Testing Production Deployment LMS Training and Support Stakeholder Preparation - User Account Creation Post deployment support Appinium license acquisition and code freeze

10 MD THINK and MHBE Common MD THINK hosting platform on AWS cloud Security stack HBX DHR and DHMH systems Security stack integration support Back-end integration support Migrate HBX solution first Funds to MHBE from DHR through MoU $ 2.5 million for FY 2018 for ~ 16 resources at MHBE to perform the DDI work identified in the workflow diagram IDIQ-NTE increase request for 2018 will be presented for vote in May 2017 Secured data flow Shared Data Repository API Development Move data from EDB Postgres to SDR Advantages to MHBE: 1. 20% Cost savings over current Hosting contract 2. Early integration with MDTHINK will enable technology stabilization ahead of September 2018 Go-live

11 MD THINK Program Overview Subramanian Muniasamy Chief Technology Officer

12 Overview MD THINK is a transformational, groundbreaking technology program that will modernize all the major Health and Human Services Systems in the State of Maryland Siloed Systems with Disjointed User Experience Streamlined User Experience DHR-CSEA DHR-SSA DHR-FIA DHMH CSES CHESSIE CARES Cottage Apps Future State Mission Specific Applications Shared Services MHBE MHC DJS ASSIST Shared Data Repository Access Control & Governance Point to Point Access Control and Governance for Workers Centralized Access Control and Governance for All Workers 12

13 Deployment Management (DevOps) Application Architecture The MD THINK Application Architecture will provide a groundbreaking shared platform supporting multiple Mission Specific Applications Mobile Apps Web Access Applications Data Consumer Benefits Portal Consumer API (s) Access Management Eligibility Determination Business Rules (SNAP, TANF, MORA, OHEP, QHP, APTC, Medicaid, CHIP, ) ESB Business Process Management MHBE Consumer Portal Enroll MHC IE Worker portal Data Integration MD Benefits Document Generation & Notices Identity Management MHBE Worker Portal Worker API(s) Batch Interfaces & ETL (Federal, State Agencies) Enterprise Search API Gateway Child Welfare Worker Portal Analytics & Reporting Child Support Worker Portal API Management MDM(Client & Provider Index) Document Management Big Data Analytics System Monitoring Audit Logging & Analysis MHBE DB CW COTS DB CS COTS DB ESB COTS DB BPM COTS DB MDM COTS DB MD IE Worker MD CW Worker Shared Data/Document Repository MD CS Worker Legend: Agency Applications Shared Platform Leverage from MHBE Cloud Infrastructure FDSH Interfaces RIDP SSA VAHI VLP Max APTC MEC Other Federal Interfaces IRS SSA DRS ACF State Interfaces MMIS/DHMH LDSS EBT/EFT Bureau of Empl. Prog. State Treasury Highlights Flexible, auto-scaling pay as you go Cloud infrastructure Integrated web & mobile platform for consumers and workers to provide user friendly and efficient access APIs for all client and worker functions, and for all business and technical areas to support plug and play architecture Well defined Shared Platform for supporting all Agency Apps, architected for additional agencies across the State Shared Data Repository provides a 360 degree view and advanced analytics across all programs and various product databases 13

14 Program Roadmap MD THINK will implement 12 major projects to achieve the future state, taking an agile approach with multiple releases through the duration of the program 1 AWS, DevOps, Monitoring, Audit 4/17-9/17 2 Identity & Access Management (AWS) 4/17-9/17 3 API Gateway, API Management (AWS) 4/17-9/17 4 Consumer & Worker APIs (HBX Integration) Consumer & Worker APIs (All Client & Worker Systems) 4/17-6/19 5 Shared Data Repository, Big Data, Analytics & Reporting 4/17-12/19 6 MDM, Enterprise Search 6/17-6/18 7 Child Welfare/DJS Worker Portal & Mobile Apps CHESSIE/DJS Assist Replacement 7/17-9/18 8 Eligibility Determination Business Rules (All Programs) 7/17-6/19 9 ESB, Data Integration, BPM, Batch Interfaces, ETL 7/17-6/19 10 Document Generation & Notices, Document Management 7/17-6/19 11 Eligibility & Exchange (Consumer Benefits & EE Worker Portals & Mobile Apps) - CARES Replacement 7/17-9/19 12 Child Support Worker Portal & Mobile Apps 1/18-6/19 Project ID Project Name Base Infrastructure Sep 2017 HBX Integration EE Release Jun 2018 CW Live Sep 2018 EE Release Dec 2018 Shared Plat. Complete CS Live Jun Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 EE Complete Sep 2019 MD THINK Complete Dec 2019 Sep 2017 MORA Jan 31 ABAWD, OHEP Jun 2018 FSP Dec 2018 TCA,TDAP, Non-MAGI MA Jul 2019 PAA, EAFC, Burial 14

15 Where do we Stand Actively working on all aspects of program structure, team building, solution architecture, program planning and execution of projects that are underway 1 Advance Planning Document (APD) is Approved 2 Finalized the Program Road Map & Solution Architecture 3 Cloud Infrastructure Set up Work is in progress 4 Configuration Team/Software procurement is in progress 15

16 Q and A

17 Technology Migration modernized architecture (80% cost saving over 5 years) Existing Component New Component DMZ WebSEAL DMZ Apache HTTP Server OPENAM AGENT Identity/Access Management Layer Identity/Access Management Layer ISAM ISIM FORGEROCK (OPENAM) SailPoint (IdentityIQ) Active Directory DB2 Active Directory SQLServer Presentation Layer Presentation Layer Consumer Portal Shared Services Worker Portal Modernizing Consumer Portal Worker Portal Shared Services Business Layer Business Layer Corticon FUSE ESB JBOSS APP Server Corticon FUSE ESB JBOSS APP Server Content Management Content Management FileNet CE FileNet PE MHBE Content Manager MHBE Workflow DB2 MongoDB Data Layer DB2 Data Layer EDB Postgres

18 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

19 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 Testing 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 Testing 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 Testing Stakeholder Sprint 1 Testing SPRINT 4 Set up Roles, Profiles and Data Security Model Build HBX Integration Data Cleansing Strategy Defined and Implemented UAT Sprint 3 Testing Stakeholder Sprint 2 Testing SPRINT 5 Set up Knowledge Base, 2Case, Web2Case Build CTI Integration* Pilot Data Migration with Complete Data Set to identify Challenges UAT Sprint 4 Testing Stakeholder - Sprint 3 Testing SPRINT 6 Build Identified Visualforce Pages & Enhance User Experience Complete Build and Deploy Integration to Test Environment Build Reports and Dashboards UAT Sprint 5 Testing Stakeholder Sprint 4 Testing 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 Testing and Stakeholder Training and Approval

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