Executive Steering Committee Medicaid Eligibility System Project. October 24, 2014

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1 Executive Steering Committee Medicaid Eligibility System Project October 24, 2014

2 Minutes -2-

3 Federal Partner Update -3-

4 Account Transfers Federally Facilitated Marketplace (FFM) As of October 20, 249,417 accounts have been received from the FFM for processing: o 40,365 accounts have been disposed by no-touch or filtered out o 162,740 accounts have been sent to Department of Children and Families (DCF) workers o 46,291 accounts have been sent to Florida Healthy Kids Of 162,740 accounts referred to DCF workers, 162,442 have been completed Of all accounts which have been disposed, either by no touch or by a worker: o 65.2% of children have been approved o 21.8% of adults have been approved -4-

5 Account Transfers Florida Healthy Kids (FHK) As of October 20, 245,082 accounts have been received from FHK for processing: o 55,712 accounts have been disposed by no-touch or filtered out o 189,123 accounts have been sent to DCF workers Of 189,123 accounts referred to DCF workers, 178,318 have been completed Of all accounts which have been disposed, either by no touch or by a worker: o 66.2% of children have been approved o 17.7% of adults have been approved -5-

6 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, Update on: Centers for Medicare & Medicaid Services (CMS) Finalization of Account Transfer Schema Minimum Essential Coverage (MEC) Check Organizational Change Management (OCM) -6-

7 Solution Update -7-

8 Release 2 Status Testing User Acceptance Testing (UAT) scheduled to complete October 27 Test Materials deliverable approved September 29 Performance and Security Testing completed October 9 Performance and Technical Test Results deliverables submitted October 14 Americans with Disabilities Act (ADA) section 508 remediation to be addressed in Release 2 warranty period Account Transfer formal testing successfully completed with CMS on October 22-8-

9 Release 2 UAT Defect Status As of 8:00 AM EDT on 10/22/

10 Release 2 UAT Summary by Function UAT Pass Rate by Function Defect Status by Function As of 8:00 AM EDT on 10/22/

11 Average Defect Rate MES Defect Rate vs. Industry Benchmarks Defect rate is derived from the number of defects per thousand lines of code (kloc) Cross industry research shows the range of average defect rates MES rate is lower than the lowest point of the industry range High Point of Range.60 Low Point of Range.38 MES Rate.08 MES kloc = 950 R2 UAT Defects = 76 Defect rate per kloc = 0.08 Source: Gartner Consulting Worldwide IT Benchmark Service -11-

12 Release 2 Status Training Instructor Led Training conducted October 6-9 Four Computer Based Training courses published as of October 24 SSI-related Medicaid Webinars (Virtual Instructor Led) scheduled for October 29 and

13 Child-in-Care Functionality Update Basic Functionality (CIC Phase I) Two defects; one ready for implementation with Release 2, one scheduled for the December release Full SACWIS Compliance Functionality (CIC Phase II) Requirements and design complete and submitted to independent evaluators October 17 Results of evaluation due October

14 Project Status Update -14-

15 Project Performance Metrics Both the Schedule Performance Index (SPI) and the Cost Performance Index (CPI) have remained steady over the last 32 weeks. Note: Fixed price contract -15-

16 MES Release 2 Milestones -16-

17 # of Test Scripts User Acceptance Testing (UAT) UAT began on September 10 and is progressing on schedule 1,958 of 2,278 scripts have been executed as of October 21 Current pass rate: 96% Planned vs Actual Productivity Report Date # Planned Cumu. # Actual Cumu. -17-

18 Project Issues Issue 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. Comments The priority for this issue was lowered to MEDIUM On September 9. On August 28 the number of threads were increased from 2 to 4 in production and on August 29 AHCA provided the timeline for the MEC Check enhancement project which includes installation of a dedicated server. AHCA is on track with all planned activities and is working to provide a finalized schedule. AHCA began testing on October 20, and testing is now in its final phase. -18-

19 Project Risks Risks Comments No High risks to report at this time. -19-

20 Independent Verification and Validation Update -20-

21 Medicaid Eligibility System Project Independent Verification and Validation (IV&V) Executive Steering Committee briefing 24 October 2014

22 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 Page 22

23 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 one day early. No new deficiencies identified since the last report. The next IV&V PEAR will be published on 11 November Page 23

24 Overall risk state and trending Page 24

25 Key indicators Indicator Value Comment Is the project currently on schedule? Do you expect the project to complete on schedule? Are there any scope changes? Are there any risks or issues that the Department is not successfully managing? Is the project currently within budget? Do you expect the project to remain within budget? Yes Yes Yes No Yes Yes The MES project is within the prescribed schedule control limits. The MES project is within the prescribed schedule control limits. 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. No significant deviations from the MES project spend plan. No significant deviations from the MES project spend plan. Page 25

26 Overall project performance Behind schedule and underspent SPI Behind schedule and overspent MES project performance CPI As of 12 September 2014 SPI = 1.00 CPI = 1.06 Ahead of schedule and underspent Ahead of schedule and overspent 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 tolerance of +/- 5% for both SPI and CPI. Amber area indicates review is required and corrective actions may be necessary. Page 26 Red area indicates out-oftolerance and corrective actions are necessary.

27 Upcoming IV&V activities Participate in MES project meetings. Review materials provided by the MES Project Team. Provide informal feedback as required. Schedule for October PEAR is as follows: Artifact and interview cut-off: 21 October 2014 Submit draft to DCF Contract Management: 28 October 2014 Publish final report: 11 November 2014 Page 27

28 Summary of changes Supporting information Item Description Deficiencies addressed New deficiencies Risk ratings Maturity ratings Interviews conducted Artifacts received There are no open deficiencies. No new deficiencies identified since the last report. No risk rating changes since the last report. No maturity rating changes since the last report. No interviews conducted since the last report. Artifacts received include change requests, deliverables, Executive Steering Committee (ESC) materials, phase gate materials, risks, actions, issues and decisions (RAID), schedules, spend plan, status reports, and testing. Page 28

29 IV&V ratings summary Number IV&V cube facet ratings and open deficiencies per month 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. 5 0 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Critical Issues Inefficiencies No Issues Not Evaluated Open Deficiencies Page 29

30 Open deficiencies Supporting information No. Areas Deficiency Implications Recommendations There are no open IV&V deficiencies with the MES Project. Page 30

31 Project milestones Supporting information ID Title Completion date Baseline Planned Projected Actual 7199 Finish Requirements sub-phase 04/11/ /11/ /11/ /11/ Finish Design sub-phase 06/06/ /06/ /06/ /06/ Finish Development sub-phase 08/01/ /01/ /01/ /01/ Finish Test sub-phase 10/30/ /30/ /29/ Finish UAT sub-phase 11/21/ /21/ /20/ Finish Conduct Training 10/17/ /17/ /16/ Milestone: Go-Live Complete 11/10/ /10/ /09/2014 Late Page 31

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