Integrated Eligibility System (IES)

Presenter: Venkat Krishnan

Presentation to: DHS Board

Date: July 16th 2014

Georgia Department of Human Services

Phase 1 - Update

Phase 1 – functionally compliant with the ACA COMPLETED

• October 1, 2013 – Online Applications, combined MA/ Peachcare portal via COMPASS

• December 1, 2013 – updated SUCCESS to use MAGI rules for Medicaid enrollment dates starting 1/1/14

• January 1, 2014 – updated VIDA to begin using MAGI rules for Peachcare (CHIP) enrollment dates starting 1/1/14; updated COMPASS (FPL and application questions) and added online Notices to customer self service

• April 1, 2014 – Implementation of new CHIP renewal process• May 17, 2014 - Implementation of new Medicaid (MAGI) renewal process

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Integrated Eligibility System• Phase 2 IES

– Contract signed on May 30th with Deloitte Consulting– Replacing:

COMPASS SUCCESS CRS (Client Registration System) VIDA (Peachcare for KIDS)

– Key Components

Customer centric self serve web portal

Master Person Index – constituent database for nine programs

Rules Based Engine – eligibility rules for seven programs

Business Services

– Deloitte’s “NextGen” platform

IES – Coordination Across Agencies &Vendors Federal Agencies

o CMS – Central and Regional Officeo FNS / USDAo ACF

DCHo PMOo Policy (Medicaid & PeachCare)o MMIS o Legal, Finance, Procurement

DHSo OIT (COMPASS, Document

Imaging, ADOBE, SUCCESS, EBT)o DFCS (Policy, Field Operations)o OLAC (Communications, Call

Center)o Legal, Finance, Procurement

DPH DECAL GTA

o WebMethods / ESBo NADCo GETS (IBM, AT&T)

OPB GSFIC DOAS

Deloitte NextGen

Maximus VIDA

IV&V (PCG)

Integrated Eligibility SystemTimeline

Jan 1, 2013 – June 30, 2020

When is all of this going to happen?

Phase 1 IES

DDI – Design, Development, ImplementationDDI – Design, Development, Implementation

Integrated Eligibility System

5/30/14 4/1/16*

*under consideration

Integrated Eligibility SystemDDI – Design, Development, ImplementationDDI – Design, Development, Implementation

Project PlanningRequirements Validation (RV)

Joint Application Design (JAD)

Development (construction)

Testing Implementation

SIT UAT Pilot

June ’14 –Oct ‘14

Jul ’14 –Dec ‘14

Oct ’14 –May ‘15

May ’15 –Mar ‘16

CONVERSION

Oct ’14 –Feb ‘16

Mar 1 ‘16 –April 1, ‘16

Questions and Discussion