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A service of Maryland Health Benefit Exchange MHBE IAC System Update July 17, 2014.

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Presentation on theme: "A service of Maryland Health Benefit Exchange MHBE IAC System Update July 17, 2014."— Presentation transcript:

1 A service of Maryland Health Benefit Exchange MHBE IAC System Update July 17, 2014

2 Agenda System Implementation Update –Status –Timeline –Key Upcoming Milestones R1 System Integration Testing (SIT) Update –Status Overview –Feedback to Carriers R1 User Acceptance Testing (UAT) Update R2 UAT Update 2

3 System Implementation Update - Status EDI 834 Technical Deep Dive Session held on June 10 with Carriers –Reviewed Detailed Timeline –Reviewed of Draft Policy Documents on Special Enrollment and Renewals –System Demo of Eligibility and Enrollment –Detailed 834 Design Walk-Through –Testing Acceptance and Validation Approach Weekly Carrier Knowledge Sharing Meetings – On going Weekly one-on-one sessions with each Carrier –Review schedule and milestone dates –Provide business and technical clarifications of system functionality –Periodic publishing of the Issuer Question and Answer Log MD 834 Companion Guide –V1.01 Released on June 16 –V1.02 released on July 9 Follow Up EDI 834 Technical Deep Dive Discussion held on July 2 with Carriers 3

4 System Implementation Update - Timeline 44 Today

5 System Implementation Update – Key Upcoming Milestones July 21 – Disseminate UAT connectivity information July 23 – Second round of SERFF plan templates due July 25 – Test UAT connectivity July 31 – Disseminate production connectivity information August 4 – First round of EDI carrier testing begins August 6 – Test Production connectivity 5

6 R1 SIT Update R1 System Integration Testing (SIT) – Status Overview –Testing is on track –First iteration of templates were uploaded on July 8 –Template feedback has been disseminated –Second iteration of templates are due July 23 R1 SIT – Key Feedback to Carriers –Update effective dates in Rate Templates from 2014 to 2015 –Missing Plan Expiration Date in the Plan & Benefits Template. The plan expiration date should be set to 12/31/2015 for each plan –In the Rate Data Template, the tobacco indicator must be set to “No Preference” 6

7 R1 UAT Update Plan Management Internal portal UAT will be performed from 08/08/14 to 09/08/14 From 08/08/14 through 08/22/2014 State plans to perform UAT testing using Test Data –Starting 08/25/14, UAT is planned to be performed using the SERFF templates. On 08/28/2014, the State plans to download the uploaded Plan & Benefits data from the UAT environment in an Excel template and send it to Carriers for review –State will expect feedback from Carriers by COB 09/04/14 7

8 R2 UAT Update Eligibility & Enrollment UAT is scheduled to be performed from 09/15/14 to 10/31/14 –During the last 2 weeks of UAT (10/20/14 – 10/31/14) State plans to perform regression testing State plans to have UAT participants from MHBE, DHR, DHMH, Local Health Departments, Local Social Service Offices, Navigator Entities, Call Center, Broker Community and Carriers –UAT is planned to be performed by Carriers from 10/13/14 to 10/17/14. State is planning to request 3-5 testers per carrier State is looking into the option to provide VPN access to Carriers to perform additional UAT prior to on-site UAT 8


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