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
ü
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