State Milestones Subsidized Insurance Workgroup High Level Timeline 2011 Jan 2011 Feb 2011 Mar 2011 Apr 2011 May 2011 Jun 2011 Jul 2011 Aug 2011 Sept 2011 Oct 2011 Nov 2011 Dec Key Federal Dates Funding Opportunities HHS Exchange Establishment Grants RFP - February Early Innovator Grant Awards - February 15 (Applications due 12/22/10) HHS Exchange Establishment Grants awarded- May 23 HHS Exchange Establishment Grants Level 1 and Level 2 deadline - June 30 HHS Exchange Establishment Grants Level 1 and Level 2 deadline - September 30 HHS Exchange Establishment Grants Level 1 and Level 2 deadline - December 30 CMS to issue initial Exchange and Medicaid eligibility regulations - June CMS to issues second set of Exchange regulations - September Subsidized options analysis begins – June 13 Decision on subsidized coverage structure – December Lessons learned completed - July 31 Establish Advisory Council – July State Milestones Convene ACA Customer Service Workgroup- September 15 Manatt final report to Leadership – Early October August 12, 2011 MH Cust. Service planning begins – August Manatt Preliminary Findings and Leadership Review– August 25

Jan 2012 Feb 2012 Mar 2012 Apr 2012 May 2012 Jun 2012 Jul 2012 Aug 2012 Sept 2012 Oct 2012 Nov 2012 Dec State Milestones Subsidized Insurance Workgroup High Level Timeline 2012 Key Federal Dates Funding Opportunities State Milestones HHS Exchange Establishment Grants Level 2 deadline - March 30 HHS Exchange Establishment Grants Level 2 deadline - June 29 Determine and propose ACA customer service approach- June Begin health care procurement process - September Draft 1115 Waiver renewal proposal reflecting 2014 model - December Start work on statutory changes - January Start to design budget realignment plan – January Present statutory/ budget plan to leadership- March Maximus customer service contract ends – June 30 Convene Notice Redesign Workgroup – January Legislative formal session ends- July 31 Legislature out of session August 1st – December 31st August 12, 2011

Jan 2013 Feb 2013 Mar 2013 Apr 2013 May 2013 Jun 2013 Jul 2013 Aug 2013 Sept 2013 Oct 2013 Nov 2013 Dec State Milestones Subsidized Insurance Workgroup High Level Timeline 2013 Key Federal Dates Funding Opportunities State Milestones Draft new regulations for MassHealth, CommCare, HSN, MSP and others - January Early Innovator Grant period ends - February HHS approval that Exchange will be operational by 1/1/14 - January 1 Begin 1115 Waiver renewal negotiations- March Submit State Plan Amendments - June Exchange must be “soft-launched”- July Federal HCR Implementation - January 1, 2014 Exchange must be self- sustained - January 1, 2015 Public education and awareness campaign – April Open enrollment process begins - July HSN regulations go through public hearing - September HSN regulations are adopted- October New regulations effective - January 1, 2014 HSN regulations are proposed - July New enrollments effective - January 1, 2014 Connector customer service contract ends - July 31 August 12, 2011 Exchange must be operational- January 1, 2014 Scope MA21 logic changes (coverage types, MAGI, immigration status)- January