executive steering committee medicaid eligibility system ... · 8/15/2014 · t8 t9 . program...
TRANSCRIPT
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Executive Steering Committee�Medicaid Eligibility System Project
August 15, 2014
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Minutes�
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Federal Partner Update�
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Account Transfers�Federally Facilitated Marketplace (FFM)
• As of August 11, 238,935 accounts have been received from
the FFM for processing:
o 39,208 accounts have been disposed by no-touch or
filtered out
o 155,245 accounts have been sent to DCF workers
o 44,779 accounts have been sent to Florida Healthy Kids
• Of 155,245 accounts referred to DCF workers, 153,882 have
been completed
• Of all accounts which have been disposed, either by no
touch or by a worker:
o 64.9% of children have been approved
o 21.8% of adults have been approved
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Account Transfers�Florida Healthy Kids (FHK)�
• As of August 11, 165,677 accounts have been received from
FHK for processing:
o 41,100 accounts have been disposed by no-touch or
filtered out
o 124,453 accounts have been sent to DCF workers
• Of 124,453 accounts referred to DCF workers, 114,123 have
been completed
• Of all accounts which have been disposed, either by no
touch or by a worker:
o 68.0% of children have been approved
o 17.4% of adults have been approved
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Open Enrollment Preparedness�
The Department is actively working to ensure that the system
will be ready for the Federal open enrollment period which
occurs between November 15, 2014 and February 15, 2015.
• CMS Finalization of Account Transfer Schema�
• Minimum Essential Coverage (MEC) Check
• Organizational Change Management (OCM)�
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Open Enrollment Preparedness (continued)�
CMS Finalization of Account Transfer Schema:
• Changes that need to be made to support the account transfer process�
• Received the final version from the Centers for Medicare and Medicaid
Services (CMS) on July 31 with 28 items
• Impact analysis was prepared by the System Integrator (SI) and delivered
to the Department
• Change Control Board approved this item and it will come before the ESC�
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Open Enrollment Preparedness (continued)�
Minimum Essential Coverage (MEC) Check:
• Service used to determine whether a person applying for coverage
through the FFM is currently enrolled in Medicaid or Children’s Health
Insurance Program (CHIP)
• The service has been experiencing delays since February 2014
• AHCA system vendor developed a proposal with costs for a potential
solution including a dedicated server
• Project Action Item has been created for AHCA to develop and
distribute a schedule for solution implementation
• Issue priority has been raised to high
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Open Enrollment Preparedness (continued)�
Organizational Change Management (OCM):
• Started communicating Open Enrollment dates
• Provided Project Schedule and Implementation Timelines
• Standing Agenda Item for Discussion with our OCM Champions�
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Solution Update�
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Release 2 Status
Testing Phase
• Integration Testing script execution completed August 12
• Stress Testing activities started last week, to finish August 22�
• End-to-End (System) Testing began August 13
• Regression Testing scheduled to begin August 27
• Performance Testing scheduled to begin September 5
• User Acceptance Testing scheduled to begin September 11�
• Security Testing scheduled to begin September 12
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Release 2 Status Cont.�
Training Activities
• Development of training materials is underway – scheduled to
complete on September 19
• Instructor Led Training scheduled for October 6-9
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2500
Release 2 Integration Testing Plan/Progress�
2000
1500
1000
500
0
Cumulative Plan Cumulative Actual
6/22-6/28 6/29-7/5 7/6-7/12 7/13-7/19 7/20-7/26 7/27-8/2 8/3-8/9 8/10-8/16 TOTAL
# Planned 272 241 374 355 343 226 107 24 1942
# Planned for Retest 3 25 33 37 37 32 20 8 195
# Actual Retested 6 12 27 53 49 40 87 24 298
# Actual Executed 197 240 364 411 242 175 268 31 1928
# Pending Execution 2029 1777 1386 922 631 416 61 6
Cumulative Plan 275 541 948 1340 1720 1978 2105 2137
Cumulative Actual 203 455 846 1310 1601 1816 2171 2226
Cumulative Plan includes both original script executions and forecasted script retest
-13-As of 8:00 AM EDT on 08/13/2014
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Release 2 Defect Status (in Test Phase)�
Defect State by Severity
Identified Development (In Ready for Retest Ready for UAT Cancelled Duplicates
Progress) (Passed Sys Test)
0
20
40
60
80
100
120
140
160
180
200
Unassigned
4 - Low
3 - Medium
2 - High
1 - Critical
Defect State by Severity
Severity Identified Development (In
Progress) Ready for
Retest Ready for UAT (Passed
Sys Test) Cancelled Duplicates Total Submitted Total Valid
1 - Critical 0 0 0 1 3 0 4 1
2 - High 0 1 2 26 13 1 43 29
3 - Medium 0 26 15 129 28 2 200 170
4 - Low 2 6 8 32 14 3 65 48
Unassigned 1 0 0 0 1 0 2 1
Total 3 33 25 188 59 6 314 249
Total submitted includes Cancelled/Duplicates; Total valid excludes Cancelled/Duplicates.
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Child-in-Care (CIC) Functionality Update�
Basic Functionality (CIC Phase I)
• Four open items
– One defect in analysis
– Three items scheduled for promotion to production August 20; two of
the three are enhancements in a no-cost change request
Full Statewide Automated Child Welfare Information System
(SACWIS) Compliance Functionality (CIC Phase II)
• Requirements and design kickoff meeting held August 13
• Requirements sessions begin on August 19
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Project Status Update�
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Project Performance Metrics�
Both the Schedule Performance
Index (SPI) and the Cost Performance
Index (CPI) have remained steady
over the last 26 weeks
Note: Fixed price contract -17-
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MES Release 1 / Release 2
RELEASE 1 - Remaining Items Status
• FHK Verifications Expected on September 25
RELEASE 2 - Milestones
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Project Issues�
Issue Comments
Delay in FHK connectivity to the CMS Data Services FHK continues to plan for a release date of September 25,
Hub – FHK has confirmed a date of September 25, 2014 to implement the Federal hub verification service
2014 to establish connectivity to the CMS Data calls. The DCF’s SI is actively working with FHK to support
Service Hub. Based on this date, there is a high resolution.
potential that the project will encounter a
resource conflict with the Release 2 testing
process (both DCF and SI Staff).
MEC Check Performance – A latency issue is
currently being experienced in the MEC response
from the Agency for Health Care Administration
(AHCA) system for requests received from FFM and
FHK. AHCA is evaluating the issue due to the
increase in load to AHCA system that has caused
the timeouts.
AHCA reported that HP cannot guarantee the proposed
technical solution will correct the issue. Due to open
enrollment occurring on November 15 there is
heightened concern regarding a solution being deployed
in time, and the issue priority was raised to a ‘High.’ A
project action item has been opened for AHCA to provide
a written report on a proposed solution and approach
timeline. This information is still pending from the Agency.
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No “High” risks to report at this time.
Project Risks�
Risks Comments
No “High” risks to report at this time.
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Independent Verification and
Validation Update
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Medicaid Eligibility System Project
Independent Verification and Validation (IV&V)
Executive Steering Committee briefing
11 August 2014
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Topics for discussion
► General IV&V overview
► Overall risk state and trending
► Key indicators
► Overall project performance
► Upcoming IV&V activities
► Supporting information
► Summary of changes
► IV&V ratings summary
► Open deficiencies
► Project milestones
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General IV&V overview Overall IV&V risk state: Green
► Overall IV&V risk state for the MES project is Green (no
issues).
► The project is within the prescribed schedule control limits.
► Based on the current schedule performance index (SPI), all future
milestones are projected to be completed on time.
► No new deficiencies identified since the last report.
► The next IV&V PEAR will be published on 09 September 2014.
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Overall risk state and trending
Risk state of MES Project Risk state with trending
Indicates that the area being assessed has critical issues that will result in significant risk to the project most likely resulting in either the inability to achieve the outcomes,
inability to meet the projected schedule, or a significant cost over-run. Requires immediate action.
Indicates that the area being assessed has issues that need to be resolved; inefficiencies exist. Current process/method can be used with refinement.
Indicates that the area being assessed did not have significant issues to report. Continued monitoring should be performed.
Indicates that the area being assessed has incomplete information available for a conclusive finding or is not applicable.
Program governance
Risk state with trending
G1
G2
G3
G8
G7
G9
G4
G6
G5
P1
P4
P6
P3
P5
P7 P8
P2
P9
T2
T1
Technical
solution
Project
management
T3
T5
T9
T4
T7 T8
T6
As of 28 July 2014
Scope
management
Time
management
Cost
management
Human
resource
management
Procurement
management
Integration
management
Risk
management
Communications management
Business case
integrity
Complexity profile
Capability
and
maturity
Decision framework
Organizational change
management
Performance management
Governance effectiveness
Compliance and regulatory
Benefits design and
realization
Requirements engineering
and design
Methodology
and development
Technical
infrastructure
Data
management
Security,
BC and DR
Controls
Testing
and
validation
Cutover
and support
Sustainability
model
Quality
management
G3
G2
G1
G6
G5
G4
G9
G8
G7 P1
P2
P3 P4
P5
P6 P7
P8
P9
T1
T2
T3
T4
T5
T6
T7
T8
T9
Program governance Benefit realizat ion and
sust ainabilit y
Project management Processes, cont rols,
and predictabilit y
Technical solut ion Requirement s development ,
qualit y and t ransit ion
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Key indicators
Indicator Value Comment
Is the project currently on schedule?
Yes ► The MES project is within the prescribed schedule control limits.
Do you expect the project to complete on schedule?
Yes ► The MES project is within the prescribed schedule control limits.
Are there any scope changes?
Yes ► The ESC has approved multiple scope changes regarding items such as FFM Account Transfer Schema version changes, Presumptive Eligibility for hospitals, and IV&V test result review and attestation.
► The additional costs have been incorporated into the project budget and contract amendments have been completed.
Are there any risks or issues that the Department is not successfully managing?
No
Is the project currently within budget?
Yes ► No significant deviations from the MES project spend plan.
Do you expect the project to remain within budget?
Yes ► No significant deviations from the MES project spend plan.
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Overall project performance
• This chart shows the SPI and CPI
plotted as points against the
tolerance ranges set up for the
project.
• SPI is1.00 and trending flat:
• The project is on schedule.
• It is taking the same time to
complete tasks as originally
scheduled.
• CPI is greater than 1.00 and
trending flat:
• The project is under budget.
• It is taking less effort to complete
tasks than originally planned.
• Conclusions:
• Schedule and cost performance
are within prescribed control
limits.
► Green area indicates within ► Red area indicates out-of
tolerance of +/- 5% for both SPI tolerance and corrective actions
and CPI. are necessary.
► Amber area indicates review is
required and corrective actions
may be necessary.
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Upcoming IV&V activities
► Participate in MES project meetings.
► Review materials provided by the MES Project Team.
► Provide informal feedback as required.
► Schedule for August PEAR is as follows:
► Artifact and interview cut-off: 19 August 2014
► Submit draft to DCF Contract Management: 26 August 2014
► Publish final report: 09 September 2014
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Summary of changes
Supporting information
Item Description
Deficiencies addressed
► There are no open deficiencies.
New deficiencies
► No new deficiencies identified since the last report.
Risk ratings ► No risk rating changes since the last report.
Maturity ratings
► No maturity rating changes since the last report.
Interviews conducted
► No interviews conducted since the last report.
Artifacts received
► Artifacts received include budget, deliverables, Executive Steering Committee (ESC) materials, risks, actions, issues and decisions (RAID), schedules, staffing, status reports, and testing.
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IV&V ratings summary
Supporting information
• This chart shows a summary of the
IV&V cube facet ratings (red, amber,
green and grey), and open
deficiencies for the last six reporting
cycles.
• The number of cube facet risk
ratings has decreased since the
April PEAR.
• The number of deficiencies has
decreased since the April PEAR.
• Conclusions:
• The project risks are decreasing.
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Open deficiencies
Supporting information
No. Areas Deficiency Implications Recommendations
There are no open IV&V deficiencies with
the MES Project.
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Project milestones
Supporting information
ID Title Completion date
Baseline Planned Projected Actual
7199 Finish Requirements sub-phase 04/11/2014 04/11/2014 04/11/2014 04/11/2014
7200 Finish Design sub-phase 06/06/2014 06/06/2014 06/06/2014 06/06/2014
7272 Finish Development sub-phase 08/01/2014 08/01/2014 08/01/2014
7341 Finish Test sub-phase 10/30/2014 10/30/2014 10/30/2014
7488 Finish UAT sub-phase 11/21/2014 11/21/2014 11/21/2014
7568 Finish Conduct Training 10/17/2014 10/17/2014 10/17/2014
7584 Milestone: Go-Live Complete 11/10/2014 11/10/2014 11/10/2014
Late
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Action Items�
• Release 1 Warranty Phase Deliverable�
• SACWIS Interface Requirements and
Design Validation
• Feasibility Study for System
Enhancements
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