DSS IT Capital Investment Briefing September 11, 2013

DSS IT Capital Investment Briefing September 11, 2013

DSS IT Capital Investment Briefing September 11, 2013 1 Contents ConneCT (Modernization of Client Service Delivery) and Health Insurance Marketplace/Integrated Eligibility Project (Access Health CT/IEP) Tiers 1, 2, 3, and 4 2 ConneCT Project Project Overview Purpose: The DSS ConneCT project will modernize the agencys existing infrastructure with the implementation of a Modernization of Client Service Delivery (MCSD) solution utilizing three (3) specific technologies: Internet-based Client Access and Web Services, Document Scanning and Work Flow Management, and Interactive Voice Response (IVR) and Call Center Services. These technologies will be integrated with our existing eligibility legacy system known as EMS. These functionalities will increase the efficiency and effectiveness in how DSS serves its customers. Status of Project: As of December 31, 2012, two of the project's seven releases have been built and fully tested. These two releases feature Client Accounts and Pre-Screening functionality. In addition to Client Accounts and Pre-Screening, the state has completed the installation and configuration of approximately 95% of the new ConneCT Solution Platform. Project Timeline: 07/01/11 - 10/01/13 3 Achieving Incremental Wins for DSS and Connecticut Reach & Impact: Enables cross-agency collaboration and the ability to serve the whole client. Reach & Impact: Reach and Impact Increased automation to improve service delivery to all DSS clients. Reach & Impact: New population of clients who purchase/receive medical insurance. New quasi-public agency.

Reach & Impact: New channels for DSS clients to get information. New technology tools for DSS workers. Tier 4 Integrated Eligibility (Cross-Agency) Tiers 2 and 3 Integrated Eligibility (DSS) Tier 1 Time These projects build on each successful milestone to increase reach and impact. 4 Objectives - ConneCT Improve Client Access Anywhere/anytime access via web services. Achieve Better Quality Outcomes Makes processes faster and more efficient by reducing back and forth and generation of paper. Enhance Customer Service Empowers workers with tools to help clients. Increases the number of workers who can help a client. Reduce Costs Reduces the need for paper (and associated storage costs). More efficient retrieval of documents. Provide a Technological Framework for the Future Integrated technologies support the business and allow for expansion. Through ConneCT we are using technology to generate positive business impact. 5 Building a Technological Framework for Future - ConneCT Technical Milestone Benefit to DSS and Connecticut

Built and deployed new server infrastructure at BEST Data Center. Allows to BEST to host a modern web-based system for DSS. Installed new telephone system at BEST and at three DSS offices. Single, centralized telephony platform enables a statewide workforce and provides redundancy. Installed new optical fiber network. Enables high-speed connectivity between the BEST data center and DSS benefit center offices to support voice and data. Installed 700 new telephone lines at the BEST Data Center. Allows DSS customers to reach DSS via a central location and access telephony services. Deployed new web-based software platform. Provides modern, web-based systems for DSS clients and DSS workers to use. Installed leading COTS products including Rules Engine and Document Generation Software Provides modern, web-based systems for DSS clients and DSS workers to use. Extensible technical products support DSS now and in the future. 6 Release Update and Timelines- ConneCT Functional Overview Status / Target Date

Client Accounts Provides secure, anytime access to generic and case-specific information to clients via the Internet. Currently Live (http://connect.ct.gov) Pre-Screening Allows clients to independently check for potential eligibility online without having to visit or call DSS. Currently Live (http://connect.ct.gov) Interactive Voice Response (IVR) Provides secure, anytime access to generic and case-specific information to clients by phone. Currently Live Document Management and Workflow Reduces the need for paper-based processing and provides centralized access to documents and visibility into document status. Currently Live Provides a centralized, consistent enterprise system for receiving and servicing incoming calls. Currently Live Online Application Allows clients to apply online and provides a dynamic verification checklist to clearly explain what verification is required. September 2013 (beta) Change Reporting and Online Redeterminations

Allows clients to report changes and conduct redeterminations online. October 2013 Benefit Center 7 ConneCT Telephony Benefit Center Model Benefit Center Office 1 Service Group Benefit Group Key Key Features: Features: Web WebServices Services Make Make Legacy Legacy Data Data Available for Self Service Available for Self Service Benefit Benefit Centers Centers are are Redundant Redundant Licenses Licenses Float Float Between Between Offices Offices Remote Agent Capability. Remote Agent Capability. Processing Group Benefit Center Office 2 Service Group

State-Wide IVR One Phone #: 1-855-6-CONNECT Benefit Group Automated SelfService Processing Group Benefit Center Office 3 Service Group EMS Legacy System Benefit Group Processing Group 8 A Closer Look CT Benefit Center Worker Portal Benefit Center Worker and Supervisors EMS Legacy System Benefit Center Console (Avaya) ConneCT Screen Pop Benefit Center Phone (VoIP) Office Wall Boards Display Agent Status and Max Call Wait Time (Configurable) Benefit Benefit Center Center Screen Screen Pop Pop Tells Tells the the Worker

Worker Who Who isis Calling Calling and and Why Why 9 A Closer Look CT Document Management and Workflow Daily Pick-up Central PO Box Mail Post Office Manchester, CT Expedited Fax: 2hr SLA Transmission Every 2hrs. All Other Docs: 24hr SLA Transmission Every 2hrs. Scan Optics Prep Scan BEST Form ID Client ID 4AM 6AM 12PM 1PM 5PM 8PM Batch Process Fax DSS Office Mail-Room Expedited Fax Workers Mail ConneCT WP Work Items Created

or Appended UPS - 1 Business Day Walk-in *NEW* Online Applications, Changes and Redes ConneCT CP 10 A Closer Look CT Document Management and Workflow 11 A Closer Look CT Document Management and Workflow ConneCT Worker Portal DSS Processing Workers EMS Eligibility System Client Accounts ConneCT Document Management and Workflow Enabling Real-Time Document Tracking 13 ConneCT Modification Releases (Draft Plan) Release Release Name and Functionality 3.0 ConneCT Release 6/7: -Online Application -Report a Change -Online Redetermination 3.1 3.2 4.0 4.1 Phase

Stakeholders Required Design Deloitte / DSS Development Deloitte System Test Deloitte UAT Deloitte / DSS Staging Deloitte Production BEST / Deloitte ConneCT Changes for HIX (October) Design Deloitte / DSS -Includes selected (deferred) Development Deloitte defects/changes from R6/R7 System Test Deloitte -Includes selected R5 (doc mgmt / UAT / System Test Validati Deloitt on: e / DSS workflow) related defects Production BEST / Deloitte ConneCT Changes for C!A Part I Design Deloitte / DSS Development Deloitte System Test Deloitte UAT / System Test Validati Deloitt on: e / DSS Production BEST / Deloitte ConneCT Changes for HIX (December) Design Deloitte / DSS Development Deloitte System Test Deloitte UAT / System Test Validati Deloitt on: e / DSS Production BEST / Deloitte ConneCT Changes for HIX (January) + Design

Deloitte / DSS ConneCT Changes for C!A Part II Development Deloitte System Test Deloitte UAT / System Test Validati Deloitt on: e / DSS Production BEST / Deloitte Start Date n/a n/a n/a n/a 8/28/2013 9/4/2013 n/a 8/19/2013 9/9/2013 9/16/2013 10/1/2013 8/12/2013 9/3/2013 9/30/2013 10/14/2013 11/5/2013 9/2/2013 9/16/2013 10/28/2013 11/11/2013 12/6/2013 9/23/2013 10/21/2013 11/18/2013 12/2/2013 1/1/2014 End Date Status Complete Complete Complete Complete n/a n/a n/a n/a 9/3/2013

9/4/2013 n/a Complete 9/6/2013 9/13/2013 9/20/2013 10/1/2013 8/30/2013 In Progress 9/27/2013 10/11/2013 10/25/2013 11/5/2013 9/13/2013 10/25/2013 11/8/2013 11/22/2013 12/6/2013 10/4/2013 11/15/2013 11/29/2013 12/13/2013 1/1/2014 14 ConneCT Current Risks and Issues Risks: State resource competition for upcoming releases and other projects. Issues: Challenges with scanning/indexing at the current full production volume. Analysis and refinement of business processes has been challenging with aggressive rollout approach. Intermittent production issues have impacted production up-time. 15 ConneCT Results and Impacts While recently implemented (fully operational July 8, 2013), ConneCT has already started to make a significant impact: 30,015 Online Accounts Created 50,000+ IVR Accounts Created 127,308 Calls Answered by the Benefit Center 29,302 Interviews Conducted via Phone ~1M Legacy and New Documents Committed into FileNet (Doc Mgmt) This series of technological improvements will gradually change the service landscape at DSS for the benefit of Connecticut residents, the agencys dedicated staff, and taxpayers in general. We are literally taking an agency from obsolescence in terms of overwhelmed phones and laborious paper processing into the modern age of business systems. -Governor Dannel Malloy 16

Financial Estimates (SFY 13 SFY 14) - ConneCT Estimated Total Development Cost Estimated total Capital Funding Request Estimated Annual Operating Cost One Time Financial Benefit Recurring Annual Financial Benefit $21,401,663 $8,550,041 $4,652,061 $10,478,858 $2,279,510 Explanation of Estimates The total development costs indicated above are reimbursed by the Federal Government at a 49% FFP rate. The One Time Financial Benefit of $10,478,858 shown above reflects $2,279,714 of FFP against the Capital Equipment Purchase Fund expenditures of $4,652,478, in addition to the FFP of $8,199,144 for the federal share of this initiative. Funding requested for the ConneCT project through this submission reflects the final allocation of funds for SFY 2014 consistent with the funding amounts approved in our original submission to the Committee. 17 Actual & Projected Expenditures ConneCT Actual and Projected Development Expenditures Actual Expenditures: SFY 2009 SFY 2010 SFY 2011 SFY 2012 SFY 2013 Total Actual Expenditures Through SFY 2013 Projected Expenditures: SFY 2014

Grand Total All Expenditures 859,840 441,458 894,014 4,793,671 13,636,831 20,625,814 $20.6 m expended in prior years $ 7.8 m for 2014 costs $28.4 m total project cost 7,764,832 28,390,646 18 Actual & Projected Expenditures (SFY 13 SFY 14) - ConneCT ConneCT 6,000,000 5,000,000 Expenditures 4,000,000 3,000,000 2,000,000 1,000,000 SFY 13 SFY14 SFY15 Year Federal Funds CEPF IT Capital Investment Funds *Does not include Maintenance & Operation expenditures (SFY14 - $4.5m, SFY15 - $4.7m). 19 Achieving Incremental Wins for DSS and Connecticut Reach & Impact: Enables cross-agency collaboration and the ability to serve the whole client. Reach & Impact:

Reach and Impact Increased automation to improve service delivery to all DSS clients. Reach & Impact: New population of clients who purchase/receive medical insurance. New quasi-public agency. Reach & Impact: New channels for DSS clients to get information. New technology tools for DSS workers. Tier 4 Integrated Eligibility (Cross-Agency) Tiers 2 and 3 Integrated Eligibility (DSS) Tier 1 Time These projects build on each successful milestone to increase reach and impact. 20 Health Insurance Exchange & Integrated Eligibility System Project (HIX / IEP) Tiers 1, 2, 3, and 4 Project Overview Purpose: The Department of Social Services Integrated Eligibility System project will replace the Departments existing 24 year old Eligibility Management System (EMS). The integrated eligibility platform, once designed, developed and implemented, will provide a seamless eligibility and enrollment process for Medicaid, CHIP and the CTHIX, and will ultimately be used to determine eligibility for other social service programs (e.g., SNAP, TFA). Specifically, the planned integrated eligibility function will initially address federal requirements for eligibility determinations for advance premium tax credits and reduced cost sharing through the Exchange, MAGI-based eligibility for Medicaid, complete individual responsibility exemption determinations, and coordinate enrollment. Anticipated Project Timeline: 02/1/12 - 12/31/15 21

Tier 1 Update and Timeline Access Health CT June 2013: Enables the Loading of Plan Data (Currently Live) O N D J F M A M J J A S O R1: Plan Management R2: Core Functionality R3/R4: Deferred Functionality October 2013: Allows Clients to Browse, Apply, Shop and Enroll Provides Additional Functionality to Enhance the Marketplace 22 Access Health IE PMO IT Program Plan Completion (per the IE PMO work plan) IEPMO Program Plan Completion as of 8-30-13 Phase Planning Design Development

Implementation Operations IT/OPS Current Completion Weight R0 IT 100% 0.5 R1 IT 100% 0.5 R2 IT 100% 0 R1 IT 99% 0.93 R2 IT 93% 0.07 R1 IT 99% 0.31 R2 IT 93% 0.69

R1 IT 99% 0.14 R2 IT 67% 0.86 R1 IT 21% 0.05 R2 IT 0% 0.95 IT Total Start Date Finish Date Previous 100% 05/14/2012 11/15/2013 100% 99% 07/10/2012 09/16/2013 98% 95% 08/16/2012

09/30/2013 93% 71% 10/19/2012 10/03/2013 62% 1% 06/04/2013 12/31/2014 0% 23 08/30/2013 Today Access Health CT / Integrated Eligibility PMO IT Dashboard Summary milestones FEB MAR 1l Reqs/ Planning Infrastructure Design Development 1a APR 08/30/13 MAY 1d JUN 7n 3i Testing

Implementation Requirements and Planning (1a) *Preliminary IRS ACA Safeguard Procedures Report & System Security Plan due (Apr 1) (1d) *Privacy Impact Assessment Complete (May 15) (1e) *Preliminary Interconnection Security Agreement must be provided (May 17) (1g) *Final State Determination (Jul 1) (1h) *Computer Matching Agreement (Aug 15) (1i) *Submit Final ACA Safeguard Procedures Report & Final System Security Plan to IRS (Jul 1) (1j) *Final Interconnection Security Agreement due (Sep 1) (1k)*Business Partner Agreements must be complete (Sep 30) (1l) Submit Establishment Design Review & IT consultation/presentation to CMS (March 27-28) Infrastructure UAT (7g) R2 SIM/SAM Configuration (Jun 17 21) (7h) R2 Informatica Configuration (Jun 24 Jul 5) (7i) R2 UAT Deployment (Aug 21) (7w) R2 UAT Shakedown (Jul 2 Aug 21) (7b) R2 SMS Module Install Complete (Jul 1) (7c) R2 Filenet Configuration (May 31 Jun 28) AUG 1h 1i 1e 7u 3b JUL 1g 7g 7b 7y 7c 7h 7l 7r

7t 7s 3n 2n 1k 7z 7i 7m 7w 7o 7x 10 p 10 n 10 o 12 a 7p 7d SEP 1j 3j 12 b 12 e 12 c 12 d

2h 2o 10l 10m Staging (7n) R2 SIM/SAM Install (May 14 Jun 14) (7o) R2 Staging SIM/SAM Config. (Jul 29 Aug 9) (7p) R2 Staging Deployment (Aug 19) (7d) R2 Software Base Configuration (Jun 6 Aug 14) (7l) R2 SMS Module Install Complete (Jul 12) Production (7t) R2 Vanilla Software Install (Jun 5 Jul 19) (7x) R2 SIM/SAM Install (Jul 15 was Aug 28, now Sep 4) (7y) R2 Informatica Configuration (Jun 10 20) (7m) R2 Filenet Configuration (Jun 17 was Aug 16, now Sep 6) (7r) R2 SIM/SAM Configuration (Jul 29 Aug 1) (7s) R2 SMS Module Install Complete (Jul 29) (7z) R2 Deployment (was Aug 28, now Sep 6) (7u) BEST MOU in AHCT legal review (Feb 8) Design (3b) Technical Design (Due Feb 1) (3i) R2 Design Complete (Mar 15) Telephony Design (10n) IVR & Outbound Dialer (Aug 12) (10o) Telephone System & Call Recording (Jul 25) (10p) WFM System (Aug 21) Development (3j) R2 Development Complete (Aug 2) (3n) System changes for new SSA Testing (12b) Finalize UAT Scenarios (Jun 28) (12c) Create UAT Training Schedule (Jul 5) (12d) Select and Prepare Training Rooms (Jul 5) 12 12i g 12f 2q 12j 3k 10t 2i 10

y 12 k 12 h 12 n 3l 12l 2s (12e) Week 1 Training Overview (Jul 16 18) (12f) Complete UAT Env. and Testing Checklist (Jul 24) (12g) Week 2 Training (Jul 22 26) (3k) R2 SIT (Aug 15) (12h) Prepare test scripts for UAT (Aug 30) (2q) Start R2 UAT (Aug) (12i) UAT Execution Kickoff (Jul 31) (12j) Final UAT Schedule Cycle 2 (Aug 16) (3l) R2 UAT/ Go No-Go (Sep 13) (12k) Final UAT Schedule Cycle 3 (Aug 30) (12l) R2 UAT Exit Review Meeting (Sep 17) (12n) Final UAT Schedule Cycle 4 (Sep 6) Implementation ConneCT (2h) Xsfr Case-base to Task-base (Jul 8) (2i) Online App&Redets [R6&R7] (Aug 13) legend EMS/ConneXions/MMIS (2o) ConneXions MPI load file developed (Jun 26) (2s) Go live open enrollment (Oct 1) MAXIMUS Data & Voice Circuits (10l) Voice Circuits (Jul 22) (10m) ACD (Jul 16) MAXIMUS CRM/KMS (10t) Env Set-up (was Jul 24, now Aug 14) (10y) KMS Set-up (Aug 11) *Indicates CMS Critical Activities and Important for Conditionally Approved SBEs 24 Today Tier 1 DSS Workstream Dashboard 08/30/2013

Summary milestones DSS JUNE JUL 2013 SEPT AUG 2r NOV DEC JAN 2i 2q 2k OCT 2x 2v 2t 2s Tier 1 (2k) Approval of Tech Design (June TBD) (2q) Start R2 UAT (Aug 2013) (2r) Commence Training DSS staff (Aug 2013) (2s) Go live open enrollment (Oct 1) (2t) Go live (Jan 2014) (2v) Submit SPA to legislative committee (Week of 8/5) (2w) SPA Tribal Consultation (8/5) 2w Schedule Risks (2x) SPA submission to CMS (8/31) ConneCT (2i) Online App & Redets (pilot rollout) [R6&R7] (Sep 9) EMS/ConneXions/MMIS

(2p) All new SPEC Aus in EMS production (Nov 29) (2n) EMS webservice lookup (Mid May) Resource Risks Quality Risks Deliverable s Risks Issues DSS ID Risk (s) Overall Risk Level Mitigation Current Status 2t Timing and scope of the R3 & R4 unknown. Resulting impact is lack of Integration Plan across AHCT & ConneCT. (DSS expecting integration in December release) (Risk 107) Medium Need an integrated work plan with release scope and timing. 2s Assumed staffing for processing verifications scope of Xerox workers in making discretionary action. (Risk 115). Medium Consider work around for 1) staffing, or 2) forms Work around currently being explored. of verification (including possible self attestation). 2s Appeals process and scope of Xerox .There is a risk DSS will not be able to support the increase in fair hearings impacting DSS staffing.

Low Discussions are currently underway between AHCT and DSS on how Fair Hearings would be handled (roles and responsibilities of various parties incl Xerox). Meetings have commenced to document this and are being supported by KPMG. 2s There are currently 17 DSS Change Requests pending analysis which impact either the R2 October Release, or the January Release[refer to IPEMO CR Log]. Low Need a CCB meeting ASAP to address each of these CRs and other CRs that may arise. Awaiting CCB meeting to be scheduled. Key planned activities for current week 1. Decision on verification potential self attestation 2. Identify reporting requirements 3. Develop hearings processes. 4. Develop functionality required for future releases 5. Follow up on IPA Meeting scheduled for August 7 at DSS to discuss. 25 Access Health CT Release 2 Risk by Category Quality Schedule Scope Medium 107 111 115 120 144

146 Medium 83 85 123 126 132 135 138 142 147 Medium 124 Timing and scope of future releases Requirements have not been traced to Design, Development, and Test scripts Verification process (IT) Poor Quality Deliverables causing rework and schedule delays Training evironment is unstable and the work portal is not working System Integrator Testing Defect Reslution Late MOU between BEST and Exchange polished on 1/24 pending AHCT legal sign-off The Federal Data Services Hub (FDSH) will not be available in time for Deloitte development timeline. UAT and Performance Testing Availability ICDs missing/late bSwift, ScanOptics, sir speedy, Xerox impacting testing Limited time to get approval for Power User, Plan Variation and SSA changes design to meet coding deadlines. Data format inconsistencies between Federal data templates and AHCT are hindering QHP data uploads. Staging Environment will not be ready for shakeout until 8/7 Domain and DNS changes Significate Scope Changes may be made for R3 and R4 whih have created schedule risk for requested scope. Operational and systems integration with DSS not finalized (e.g. - appeals, notifications, and call center operations, etc.) 26 Achieving Incremental Wins for DSS and Connecticut Reach & Impact: Enables cross-agency collaboration and the ability to serve the whole client. Reach & Impact: Reach and Impact Increased automation to improve service delivery to all DSS clients. Reach & Impact: New population of clients who purchase/receive medical insurance. New quasi-public agency. Reach & Impact:

New channels for DSS clients to get information. New technology tools for DSS workers. Tier 4 Integrated Eligibility (Cross-Agency) Tiers 2 and 3 Integrated Eligibility (DSS) Tier 1 Time These projects build on each successful milestone to increase reach and impact. 27 IEP Tiers 2 and 3 High Level Description Tier II This Tier adds the remaining DSS medical eligibility rules (including Aged, Blind and Disabled (ABD), Medically Needy, and Long Term Care) as well as the case management capabilities for all of DSS medical programs (including Modified Adjusted Gross Income (MAGI) based Medicaid and CHIP). Tier III This Tier adds the eligibility and case management for the remaining Eligibility Management System (EMS the legacy eligibility system) programs including TANF (called Temporary Family Assistance or TFA in Connecticut), SNAP, Summer Electronic Benefit Transfer (SEBT), State Administered General Assistance (SAGA), State Supplement to ABDs, and Refugee Assistance The implementation of Tiers 2 and 3 effectively provides CT DSS the ability to sunset its legacy eligibility system known as EMS 28 IEP - Platform Capabilities for Tiers 2, 3 and 4 29 IEP - Future Vision for Tiers 2 and 3 (proposed) DSS & Xerox Workers Expansion of Integrated Eligibility System (IES) HHS NextGen

eDir Interfaces Fax FileNet DSS Obj Store DSS Clients AHCT Clients ISIM/ ISAM Enterprise Services Correspondence AHCT Customer Portal ConneCT Worker Portal Functions Batch App Reg and Data Collection EDBC Case Mgmt Benefit Mgmt and Provider Mgmt MAGI MA/CHIP Approvals MAGI MA/CHIP Denial Referrals

Rules Engine ISIM/ISAM Open LDAP ConneCT Customer Portal ISIM/ISAM Mail Benefit Center Phone IVR Medicaid (Including MAGI) CHIP SNAP TANF Unsubsidized APTC/CSR AHCT Worker Portal + Power User AHCT Workers FileNet AHCT Obj Store Fax MPI/ MCI Mail HHS NextGen Extension eDir Key:

Customer Facing Portal Worker Facing Portal COTS Product Object Store Legacy System MPI / MCI CT_IE-012_6 30 IEP Tiers 2 and 3 High Level Project Timeline (proposed) Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Dec July 23 40 Jun 22 Nov May 21 39 Apr 20 Dec 16

Mar Nov 15 19 Oct 14 Jan Sept 13 Feb Aug 12 18 July 11 2016 17 Jun Mar 7 10 Feb 6 Apr Jan 5 May Dec 4 9 Nov

3 2015 8 Oct 2 2014 Sep Month 2013 1 Year Federal Funding Match Deadline Initiate & Plan Integrated Eligibility Project Tier 2/3 Requirements Validation Design (Elaboration and Gap Analysis) System Integration Test Begins Development and Testing UAT Prep Training Planning and Design User Acceptance Testing User Training UAT Training Production Pilot Implementation Planning and Implementation Organizational Readiness and Change Management Conversion Analysis, Design and Prep

On-Site Support Wave 1 Go-Live Wave 3 Go-Live Wave 2 Go-Live Conversion Support Maintain and Operate CT_IE-031_7 31 IEP Tiers 2 and 3 Key Dates (proposed) In accordance with the schedule above, the table below summarizes the estimated start and end dates of each project phase. The SOW is based on this estimated schedule. Phase Phase Start Date Phase End Date Initiate & Plan September 2, 2013 September 29, 2013 Requirements Validation September 30, 2013 November 29, 2013 Design (Elaborate and Gap Analysis) December 2, 2013 August 29, 2014 Development and Testing April 1, 2014 April 30, 2015 User-Acceptance Testing

March 30, 2015 July 15, 2015 User Training July 1, 2015 October 30, 2015 Im plementation Planning and Implementation October 1, 2013 November 30, 2015 Production Pilot August 1, 2015 August 31, 2015 Wave 1 Go-Live September 1, 2015 September 30, 2015 Wave 2 Go-Live October 1, 2015 October 31, 2015 Wave 3 Go-Live November 1, 2015 November 30, 2015 Conversion October 1, 2013 November 30, 2015 Maintain and Operate December 1, 2015 November 30, 2016

32 IEP Current Status of Planning Phase Implementation Advanced Planning Document (IAPD) was approved by the Centers for Medicare and Medicaid Services (CMCS) and by the Food and Nutrition Services (FNS) on April 5, 2013. IEP Statement of Work (SOW) approved by CMCS and FNS on June 25, 2013 and submitted to Deloitte Consulting. Final DSS Negotiated Deloitte SOW Response submitted to CMCS and FNS on August 8, 2013 CMCS and FNS are currently reviewing Deloitte SOW Response and have indicated that review will be completed within approximately thirty (30) days. CT DSS anticipates official IEP kick-off to happen on October 1, 2013. 33 Achieving Incremental Wins for DSS and Connecticut Reach & Impact: Enables cross-agency collaboration and the ability to serve the whole client. Reach & Impact: Reach and Impact Increased automation to improve service delivery to all DSS clients. Reach & Impact: New population of clients who purchase/receive medical insurance. New quasi-public agency. Reach & Impact: New channels for DSS clients to get information. New technology tools for DSS workers. Tier 4 Integrated Eligibility

(Cross-Agency) Tiers 2 and 3 Integrated Eligibility (DSS) Tier 1 Time These projects build on each successful milestone to increase reach and impact. 34 IEP Tier 4 Across the CT HHS Enterprise This tier contemplates an enterprise build enabling crossagency collaboration and the ability to serve the whole client. This tier is being led by CT Chief Information Officer, Mark Raymond Involves CT HHS agencies such as Department of Public Health, Department of Children and Families, Department of Disability Services Planning work is still ongoing 35 Updated Financial Estimates (SFY 13 SFY 16) CT HIX/IEP Estimated Total Development Cost $108,104,791 Estimated total Capital Funding Request $13,699,707 Estimated Annual Operating Cost $13,782,851 One Time Financial Benefit $94,375,483 Recurring Annual Financial Benefit $10,337,138 Explanation of Estimates The total development cost is reimbursed by the Federal Government at an 87.3% FFP rate. The estimated annual operating cost is calculated based on the SFY15 amount of $13,782,851. The recurring annual financial benefit is calculated by multiplying the estimated annual operating cost by 75%, as operating costs will be reimbursed at a 75% FFP rate.

In the development of the cost estimates above, the majority of the cost is allocated to information technology systems and related support. These costs are highly dependent upon future activities, such as the structure of procurements, vendor solicitations, and the actual reusability of technology components. The costs also reflect assumptions on the approach to implementation including training, user acceptance test, pilot, conversion and the number of releases. The operational cost budget accounts for two (2) years of operations and maintenance, starting in January 1, 2014 and running through December 31, 2015. Assuming a full implementation of software around December 31, 2014, the estimate includes one full year of post implementation stabilization support. Please note that these costs are very preliminary estimates and subject to change as additional information becomes available. Furthermore, there is an anticipated future APD for Tier 4 Development Costs, which are not included in this submission. 36 Reasons for Expenditure Updates (SFY 13 SFY 16) CT HIX/IEP An adjustment is made to include additional project costs of $4.3 million associated with the HIX Tier 1 development. This includes the following: IV&V First Data $0.7 m In Person Assistors $1.3 m Hardware/Software$2.3 m Further detail on project timelines has allowed us to better estimate project needs across the multi-year period. As a result, total project funding of $23.6 million is shifted from SFY 2014 to SFY 2015. The IT Capital Fund request is also altered to reflect a revision to the anticipated federal reimbursement level. The original request utilized an overall federal share of approximately 85%; this request updates the federal share to approximately 87%. 37 Projected Expenditures (SFY 13 SFY 16) CT HIX/IEP Health Insurance Exchange & Integrated Eligibility System Project 40,000,000 Expenditures 30,000,000 20,000,000 10,000,000 Year Federal Funds IT Capital Investment Funds *Does not include Maintenance & Operation expenditures (SFY14 - $2.8m, SFY15 - $13.8m, SFY16 - $3.9m). *Does not include anticipated future APD for Tier 4 Development Costs, which are undetermined at this time. 38

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