1. 1 Draft North Carolina Department of Health & Human Services Draft NC FAST Executive Status March 8, 2016

2. 2 Draft 2 AlamanceCatawbaFranklinHydeNorthamptonStokes AlexanderChowanGreeneJohnstonOrangeSurry AsheCurrituckGuilfordJonesPasquotankTyrrell AveryDareHalifaxLincolnPerquimansWarren BeaufortDavieHarnettMartinPittWashington BertieDurhamHendersonMcDowellPolkYadkin CaswellEdgecombeHertfordMitchellRutherfordYancey Adverse weather conditions during the period of Feb. 12 th – Feb. 16 th forced offices in the following counties to either close for an entire day, close early, or delay opening at least once. As a result, application and recertification processing across programs may have been negatively impacted. Key Areas for Attention The following 6 counties closed early on Feb. 24 th due to inclement weather: BertieBrunswickPender BladenNew HanoverTyrrell

3. 3 Draft Key Areas for Attention NC FAST System Issues: IBM continues to work with NC FAST Architecture & Infrastructure (A&I) team to identify / suggest system changes: 1) Alignment of the WAS Connection pools on the app servers to fit within the total available database connections (Status: Change was made by NC FAST team 1/28) 2) Increase JVM (Server) sizing by 50% (from 8 GB to 12 GB) (Status: Change was made by NC FAST team 2/4) 3) IBM identification of expired data in database generating unnecessary deferred processes (Status: Changes tested and deployed 1/31) 4) NC FAST to deploy Dynatrace application monitoring tool (Status: - Team has enabled Dynatrace on all Production (50) and Performance (6) servers) - DHHS Purchasing process complete – with DIT 5) IBM working on deployment of additional resources to assist in problem determination with NC FAST (Status: - Websphere support contacted - Cúram Application Level 2 Support (planned remote) - Cúram PD Assistance (Request to be on call in addition to Cúram Level 2 engaged) - IBM has engaged VP level executive support for platform, WebSphere, and Cúram 6) Health Check of Environment (Status: IBM Resource deployed and onsite 2/1 – report has been delivered and is under review) 7) NC FAST – Request tracking / daily reporting of 15 minute window of WAS Connections pools to Apps and DBs (Status:- In place and being monitored and trended) 8) NC FAST – Will provide executive management system availability metrics & weekly performance call scheduled for NC FAST and IBM resources (Status: Status deck for 2/19 to 2/25 completed and being distributed) 9) NC FAST – Work with DIT to establish monitors for key systems metrics (CPU, OS memory, pagespace utilization, OS paging stats, File system space) (Status: Working with DIT to get the monitors established) Draft 3

4. 4 Key Areas for Attention USDA FNS Timeliness DCDLs regarding factors impacting county administration of economic services programs and merit based requirements for eligibility determination functions were distributed last week and are attached for reference. USDA Timeliness Requirement: A 95 percent average statewide timeliness rate for completed FNS applications for the 6 month period from January 2016 through June 2016 Timeliness defined as receiving benefits within 7 days of application for expedited applications and within 30 days for normal applications NC FNS policy was updated to require that expedited applications be processed by the 4 th day and normal applications be processed by the 25 th day. This increases the probability that a household will have access to benefits by the 7 th and 30 th day (allowing time for issuance and distribution of new EBT cards, as needed.) Quality Control (QC) Process – as outlined by USDA: Cases pulled in a random QC sample are manually evaluated by QC Performance Management Section based on the availability of benefits by the 7th and 30th day (not the 4th and 25th day.) Results from these samples are considered as the official timeliness measure by the USDA. Current Rates Based on NC’s QC Process (Random Sample): A total of 2 cases were pulled in the QC sample for timeliness for October, 2015. Both were timely. Cumulative QC timeliness for the period of July – October, 2015 is 84.55%. October begins a new year for the calculation of Payment Error Rates. The statewide payment error rate for October was 2.58 %. Only 2 out of 83 cases sampled were in error. The CAPER error rate for October was 39.6 % Weekly Rate Based on NC’s USDA Reports (All Applications): For the week of 02/22 -02/26, the rate is 91.29%. Draft 4

5. 5 Same Day Processing in Urban Counties Draft 5 CountyExpeditedRegularComments Buncombe XX Same day processing for FNS and MA cases. For FNS - Average of 46% Same day processing for Mail-in and drop off applications. Average 33% for all program areas over a 5 month period. For P26 MA – Averaging 70% Mail in and drop off applications. Average 58% for all program areas (excluding SSI Batch & Admin Recerts). For MAGI (Excluding Admin Recerts) – Average 21% Mail in/Drop Off applications and 62% average for all categories. Catawba -- Does not specifically track for same day processing nor do they have an emphasis on same day processing but try to process all applications as fast as they can. Cumberland XX - Durham -- Durham discontinued same day process but have begun discussions on how to restart the process. Forsyth* XX For FNS and MA applications Gaston XX For all programs. Guilford X For FNS Only. Process 96% of applications same day. Johnston X- Universal intake team with specialized processing team (made up of Adult, F&C, and FNS Processors). The intake team gets everything possible from the client when they are here and they try to make contact via telephone, fax, email, etc…while the client is in their office to get third party verifications that are required to process. Processing team makes every attempt to get everything needed same day to process for FNS. Medicaid is more difficult. For January and February 2016, our same day processing average for FNS is 40%. We are able to maintain our percentages with FNS USDA standards because we have specialized team members dedicated to processing those apps. Mecklenburg XX 67% Same Day Processing Rate for FNS Applications. The biggest obstacle is approximately 50% of the pending applications are pending for either wages or an interview. They have also implemented a "best practice" process that workers are required to call the FNS applicant and leave a message, saying this is Mecklenburg DSS and then call back in 5 minutes to hopefully get the client to answer the phone and complete the interview. They said that many applicants don't want to answer the telephone if they don't recognize the number so calling and leaving a message and then calling back in 5 minutes is helping them to expedite the interview. New Hanover XX - Robeson XX Same Day Processing for any application the client provides, FNS and MA. Wake XX If client has all information with them when the applicant walks in, they process applications the same day. The Same Day Processing is postponed when the number of clients waiting to be seen exceeds the amount of time available for all clients to be seen timely that day. Most of the time workers process applications at time of interview. *Records indicated that Forsyth has moved to Same Day Processing for FNS and MA applications. OST unable to confirm with county.

6. 6 Draft FNS Issuances Over Time 1 Oct 2014 Benefits increased based on Federal COLA adjustments. 6

7. 7 Draft Statewide Total 91.29%7,1008.71%67793.75%4,3816.25%29287.60%2,71912.40%385 Total 82.97%94517.03%19485.71%55814.29%9379.30%38720.70%101 *Note: See slide 2 for definitions related to FNS timeliness. All ApprovedNot ExpeditedExpedited TimelyUntimelyTimelyUntimelyTimelyUntimely PctCountPctCountPctCountPctCountPctCountPctCount Hyde 28.57%271.43%5100.00%20.00%0 0100.00%5 Pamlico 66.67%233.33%1100.00%20.00%0 0100.00%1 Hoke 69.77%3030.23%1369.23%1830.77%870.59%1229.41%5 Washington 75.00%925.00%388.89%811.11%133.33%166.67%2 Alexander 76.19%1623.81%5100.00%90.00%058.33%741.67%5 Martin 76.19%1623.81%588.89%811.11%166.67%833.33%4 Iredell 79.17%5720.83%1582.69%4317.31%970.00%1430.00%6 Cumberland 82.50%29717.50%6382.38%17317.62%3782.67%12417.33%26 Pender 84.00%4216.00%8100.00%260.00%066.67%1633.33%8 Robeson 84.97%14715.03%2687.64%7812.36%1182.14%6917.86%15 Madison 85.00%1715.00%391.67%118.33%175.00%625.00%2 Avery 85.71%614.29%180.00%420.00%1100.00%20.00%0 Chowan 85.71%1214.29%290.00%910.00%175.00%325.00%1 Moore 86.21%5013.79%893.10%276.90%279.31%2320.69%6 Granville 86.49%3213.51%583.33%2016.67%492.31%127.69%1 Rowan 86.76%11813.24%1884.21%6415.79%1290.00%5410.00%6 Davie 87.50%1412.50%285.71%614.29%188.89%811.11%1 Yadkin 87.50%2812.50%490.48%199.52%281.82%918.18%2 Yancey 87.50%2112.50%3100.00%140.00%070.00%730.00%3 Transylvania 87.88%2912.12%489.47%1710.53%285.71%1214.29%2 Draft 7 Weekly FNS Processing Timeliness (Snapshot): Most Impacted Counties (USDA 7 day/30 day Timeliness) Data reflects Feb. 22 nd – Feb. 26 th. This data reflects a weekly snapshot and will change week to week. This is not a cumulative view. **Note: 6 counties closed early on Feb. 24th due to inclement weather.

8. 8 Draft Statewide FNS Application Processing Timeliness (USDA 7 day/30 day Timeliness) Running Weekly Application Processing Timeliness Rate: 8 Data as of February 19 th – Reporting based on all applications processed (not the QC sample). 12/14-12/1812/21-12/2512/28-01/0101/04-01/0801/11-01/1501/18-01/2201/25-01/2902/01-02/0502/08-02/1202/15-02/1902/22-02/26 Approved Timely 8,8484,0055,0589,8549,1166,6347,8029,4268,7497,2457,100 Total Approved 9,7674,4545,70810,75310,0247,4488,60810,2039,5617,8927,777 Rate 90.59%89.92%88.61%91.64%90.94%89.07%90.64%92.38%91.51%91.80%91.29% *Note: See slide 2 for definitions related to FNS timeliness. **Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

9. 9 Draft Potential Untimely FNS Applications- Most Impacted Counties (NC FNS Policy of 4 day/25 day Timeliness) County Total Potential Untimely Pending FNS Applications (as of 3/2) Total Potential Untimely Pending FNS Applications (as of 2/24) Total Potential Untimely Pending FNS Applications (as of 2/17) Total Potential Untimely Pending FNS Applications (as of 2/10) Mecklenburg 1028590109 Wake 8489117102 Cumberland 60646297 Guilford 452841 Robeson 33465657 Forsyth 32333032 Durham 29314471 Iredell 28244136 Alamance 25301928 Gaston 25372335 Buncombe 24181617 Davidson 24191419 Hoke 21161728 Union 19161322 New Hanover 18173224 Onslow 17152825 Cabarrus 162423 Pitt 16191018 Rowan 16272935 Catawba 15102114 TOTAL649648726833 Statewide9569941,0421,187 Draft 9 *These pending applications have been outstanding longer than the allotted time; however, for applications that will be denied, the step of denying the application must be held by rule to happen after the fully allotted processing timeline. As such, not all of the total applications represented in these counts will ultimately be considered untimely. **Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

10. 10 Draft County Total Untimely Pending FNS Recertifications (as of 3/2) Total Untimely Pending FNS Recertifications (as of 2/24) Total Untimely Pending FNS Recertifications (as of 2/17) Total Untimely Pending FNS Recertifications (as of 2/10) Wake 2,7481,0511,6592,480 Mecklenburg 646110282861 Wayne 602142267469 Durham 42937111374 Scotland 2131936136 Guilford 165112199 Hoke 139224386 Union 1321344167 New Hanover 11741985 Rowan 117133147 Forsyth 1132867164 Rockingham 5801036 Pender 37112 Onslow 321114 Moore 181033 Duplin 16433 Gaston 14838 Sampson 12222 Pasquotank 11003 Person 11123 TOTAL5,6301,4682,6025,072 Statewide5,7971,5082,6425,152 Untimely FNS Recertification Workload Snapshot: Most Impacted Counties *Reminder- Untimely FNS Recertification numbers spike at the beginning of each month and are worked down throughout the month. Draft 10 **Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

11. 11 Draft Special Assistance Issuances 11

12. 12 Draft Work First Issuances 12

13. 13 Draft Refugee Assistance Issuances 13

14. 14 Draft Overall Medicaid Applications Processed Overall Medicaid Apps includes Adult Medicaid (includes SDX), Traditional Family and Children’s Medicaid, and MAGI Family and Children’s Medicaid (including those from HealthCare.gov). *Data as of March 2 nd **Working with DHHS IT, the quarterly SDX catch-up process was refined beginning in October. Quarterly update volumes seen in April and July 2015 are not expected going forward. Draft 14 ***Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

15. 15 Draft Adult Medicaid Applications Approved *Data as of March 2 nd **Application counts increased in Dec 2014 because this is the point at which SDX processing was fully transitioned from the legacy system to NC FAST. SDX did not create applications in EIS, but does in NC FAST. ***Working with DHHS IT, the quarterly SDX catch-up process was refined beginning in October. Quarterly update volumes seen in April and July 2015 (not shown to scale) are not expected going forward. Draft 15

16. 16 Draft NC-Based F&C Medicaid Applications Approved *Data as of March 2 nd **NC-Based F&C Medicaid Applications processed include Traditional F&C Applications and NC-Based MAGI F&C Applications. Draft 16

17. 17 Draft HealthCare.Gov F&C Applications Approved *Data as of March 2 nd **ACA Year 1 ended Nov. 14, 2014. ACA Year 2 began Nov. 15, 2014 and ended Feb. 15, 2015. Special Enrollment Period for Tax Season: March 15, 2015 – April 30, 2015. ACA Year 3 began Nov. 1, 2015 and ended Jan. 31, 2016. Draft 17

18. 18 Draft CategoryEnrollment AGED 124,539 BLIND 1,739 DISABLED 292,519 Medicaid Qualified Medicare Beneficiary (MQB-Q) 9,697 Medicaid Specified Low Income Medicare Beneficiary (MQB-B) 43,756 Medicaid Qualifying Individuals 1(QI1) (MQB-E) 21,393 Adult Medicaid Subtotal493,643 Temporary Assistance to Needy Families (TANF) UNDER 21471,347 TANF OVER 21195,027 OTHER CHILD5,610 PREGNANT WOMEN16,993 FAMILY PLANNING WAIVER106,634 INFANTS AND CHILDREN439,081 Breast and Cervical Cancer Medicaid (BCC)348 REFUGEES909 Family and Children’s Medicaid Subtotal1,235,949 Medicaid Child Health Insurance Program (MCHIP)116,646 Child Health Insurance Program (CHIP)82,607 CHIP- Extended Coverage3 North Carolina Health Choice (NCHC) Subtotal199,256 ALIENS-Documented11,581 ALIENS-Undocumented3 Other Subtotal11,584 TOTAL1,940,432* Medicaid Enrollment- February 2016 Notes: 1.NC FAST converted EIS single digit medclass code as a single digit medclass code. Once this case is touched by county worker, then NC FAST rules will rerun and yield a 2 digit medclass code. 2.Due to Affordable Care Act (ACA) changes, effective Jan 1, the following income is not counted - Child support, VA, Worker’s Comp. This affects Medical Assistance to Families with Dependent Children (MAF) / Medicaid for Infants and Children (MIC) / NCHC / State Foster Home Fund (HSF) / MFC (Foster Care). 3.Family Planning Waiver (MAF-D) will continue to grow during open enrollment because NC is not an expansion state and childless adults fall in this category. 4.NC FAST design does not allow county worker to choose a program (e.g., MIC). Rules within program logic decide the program. Unknown Category records occur when the rules choose a program not represented on the MA Enrollment Spreadsheet. These Unknown Category records are reviewed and investigated to help realign NC FAST assigned medclass codes to the traditional MA Enrollment Spreadsheet. *Numbers are tentative as minor variations are possible due to the retroactive change period. **Data as of February 3 rd Draft 18

19. 19 Draft ACA Year 1 (2013-2014)ACA Year 3 (2015-2016)  During Year 1 Open Enrollment (2013-2014), NC did not begin receiving applications from HealthCare.gov until January. This caused applications from Oct.-Dec. 2014 to accumulate, creating a burden for our counties. The chart represents the rate of client application submissions for better year to year comparisons.  For Year 2 Open Enrollment (2014-2015), NC received applications from HealthCare.gov as they were submitted, which helped create a more steady workload of HealthCare.gov applications. Year 2 included a Special Enrollment Period (SEP) from March 15 to April 30.  Year 3 Open Enrollment began Nov. 1, 2015 and ended January 31, 2016. HealthCare.gov Medicaid Applications Received *Data as of March 2 nd Draft 19 ACA Year 2 (2014-2015)

20. 20 Draft HealthCare.gov Medicaid Applications Status Data as of March 2 nd ACA Year 1 (2013-2014)ACA Year 2 (2014-2015)ACA Year 3 (2015-2016) Status of Healthcare.gov/FFM Applications Application CountApplication %Application CountApplication %Application CountApplication % FFM applications received by NC FAST 86,93288,05055,401 Total FFM applications being processed 00%162.2%11,73821% Total FFM applications fully processed 86,932100%87,88899.8%43,66379% Applications approved for Medicaid ("woodwork effect") 9,00410%11,438 13%5,63913% Applications denied/withdrawn for Medicaid 77,92890%76,450 87%38,02487% Administrative Denial 7,0639%13,76118%6,84618% Already on Medicaid 12,44116%15,29020%10,11827% Withdrawn/ Found Ineligible 58,42475%47,39962%21,06055% 2015-2016 Open Enrollment Dates: November 1 st - January 31 st Approved: Applications approved for MAGI-based programs from the FFM Denied/Withdrawn: Applications denied for MAGI-based programs from the FFM (this includes duplicate applications, applicants already receiving Medicaid, applicants found ineligible, and out of state applications.) or applications that the applicant requested to withdraw. Draft 20

21. 21 Draft Pending Medicaid Applications *Data as of March 2 nd There are currently 10,299 pending Medicaid applications that are beyond standard processing time (Compared to 2014 peak of 104,070): HealthCare.Gov Applications: 4,852 (Compared to 2014 peak of 45,058) NC-Based MAGI Applications: 2,527 (Compared to 2014 peak of 31,890) Traditional Applications: 2,920 (Compared to 2014 peak of 20,938) Draft 21 **Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

22. 22 Draft Breakdown of Untimely Pending Medicaid Applications  There are 4,852 untimely pending Medicaid applications from the HealthCare.Gov.  There are 2,527 untimely pending Medicaid applications for MAGI Programs received online or in county DSS offices.  There are 2,920 untimely pending Medicaid applications in NC FAST for Traditional Programs. Draft 22 *Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

23. 23 Draft Untimely Pending Medicaid Applications- Most Impacted Counties Based on Volume County Total Untimely Pending Applications (as of 3/2) Total Untimely Pending Applications (as of 2/24) Total Untimely Pending Applications (as of 2/17) Typical Monthly Average # of Medicaid Applications Processed (2015) Total Apps Processed in Current Month (as of 3/2) Wake2,9802,7802,7055,534446 Mecklenburg2,5232,3432,2637,454646 Forsyth9931,0061,0242,363226 Randolph20520924884092 Pitt1881501691,05986 Rowan1781521361,00674 Cumberland1511451342,514194 Union1491351461,107128 Durham1481491401,837193 Harnett13513913572957 Cabarrus127113931,16290 Gaston1131061121,506133 Guilford1101211232,964270 Caldwell10310111461431 Hoke93817637625 Iredell9310612890499 Moore81697453467 Davie689112523054 Burke63605170750 Wayne63615284390 TOTAL8,5648,1178,04834,2803,051 *There will always be some applications that remain pending with good cause Draft 23 Of all Medicaid applications beyond the standard processing time, 83% are from 20 counties. **Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

24. 24 Draft Untimely Pending Medicaid Applications- Most Impacted Counties Based on County Size County Current Untimely Medicaid Applications as a % of Typical Monthly Application Volume Total Untimely Pending Applications (as of 3/2) Typical Monthly Average # of Medicaid Applications Processed (2015) Total Apps Processed in Current Month (as of 3/2) Wake54%2,9805,534446 Forsyth42%9932,363226 Mecklenburg34%2,5237,454646 Davie30%6823054 Hoke25%9337625 Polk25%2811412 Randolph24%20584092 Hyde20%7341 Harnett19%13572957 Gates18%105511 Pitt18%1881,05986 Rowan18%1781,00674 Caldwell17%10361431 Scotland15%5334221 Moore15%8153467 Pamlico14%181263 Union13%1491,107128 Avery13%12958 Person12%3125832 Cabarrus11%1271,16290 TOTAL33%7,98224,0312,110 *There will always be some applications that remain pending with good cause. Draft 24 **Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

25. 25 Draft Medicaid Recertifications Processed  Historically, the pre-NC FAST average number of recertifications processed each month in EIS was 82,191. The average overdue recertifications per month was 7,166, and the average extended per month was 6,578.  Recerts not processed (shown in white on the graph) are recerts that have been extended to a later month to extend benefits while allowing time for processing to be completed. *Data as of COB March 2 nd **Family and Children’s Medicaid recertifications were auto-extended for 9 counties on the evening of February 17 th. Draft 25 ***Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

26. 26 Draft Pending Medicaid Recertifications  A total of 135,395 Medicaid recertifications are pending through the end of March 2016. *Data as of COB March 2 nd **Family and Children’s Medicaid recertifications were auto-extended for 9 counties on the evening of February 17 th. Draft 26 ***Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16.

27. 27 Draft Pending Medicaid Recertifications- Most Impacted Counties Based on County Size  *Family and Children’s Medicaid recertifications were auto-extended for 9 counties on the evening of February 17 th. 27 **Note: 42 counties had office delays or closings due to winter weather during the period of Feb. 12-Feb. 16. County Recerts Due in March (as of COB 3/2) as Percentage of "Typical" Monthly Average Total Recerts Due through March Past Due Recerts as of COB 3/2 "Typical" Monthly Average of Recerts Due Mecklenburg*282%36,95010,91913,109 Wayne*247%3,391291,371 Hoke191%84830443 Harnett*187%2,9652571,585 Vance166%1,13565684 Randolph*164%3,1883541,944 Jackson161%56750353 Cabarrus*158%3,5925192,268 Wilson145%1,08726750 Burke139%1,616631,164 Cumberland138%5,6041,0094,065 Washington138%24424177 Wake*138%8,1291,0225,897 Greene134%27356203 Robeson134%3,6772982,746 Gates132%16413124 Scotland*131%793108605 Macon131%45277345 Orange128%89541700 Swain127%28610226 Total196%75,85614,97038,759 Statewide115%135,39523,664117,998

28. 28 Draft 28 Medicaid Recertifications- Auto-Extended Counties  The following 9 counties had their Family and Children’s Medicaid recertifications auto-extended on the evening of February 17th. 24,400 cases were extended: AsheRandolph CabarrusScotland ForsythWake HarnettWayne Mecklenburg* *Only MAGI cases were extended for Mecklenburg county.

29. 29 Draft 29 Draft Key System Metrics  NC FAST monitors key system metrics monthly, including: MetricDescriptionSepOctNovDecJan 2016Feb 2016 System Availability Target is 99% or better system availability during scheduled uptime 100% 98%99.7% Total Uptime Total uptime shown in hours 423462415438429405 No. of Critical Incidents An outage that results in the entire NC FAST application not being available. Can also be a period of time during which system performance is degraded to the point normal business functions cannot be completed even though the system is available. 000031 No. of Major Incidents An outage in which the NC FAST application is available, but one or more of the core functions provided by the application is not operable. 231110 Notes 9/23: NCID issue. 9/28: NCID issue. 10/6: NCID issue. 10/7: NCID issue. 10/13: NCID issue. 11/4: Database and server issue. 12/31: NCID issue. 1/14: Performance issue. 1/15: NCID issue. 1/17: SAN/DISK malfunction. 1/27: Performance issue. 2/3:Performance issue. Draft 29

30. 30 Draft Help Desk Tickets Open *Data as of March 2 nd **Data for previous months reflects the total number of tickets in each category as of the last day of that month. 30

31. 31 Draft Defect and CR Trend – Overall  There are currently 441 open High Defects in NC FAST. There are no open Critical or Major defects.  Change requests are worked by the application team in accordance with business priority. There are 31 high severity defects in testing for the next release (3/12/16-3/13/16). *Data as of March 2 nd

32. 32 Draft 32 Counties Requiring Attention *Family and Children’s Medicaid recertifications were auto-extended for 9 counties on the evening of February 17 th. ^ Denotes Urban County COUNTY FNS Application Processing Timeliness (Processed Apps) As of COB 2/26 FNS Recertification Untimeliness Percentage (Pending Recerts) As of COB 3/2 Medicaid Application Untimeliness Percentage (Pending Apps) As of COB 3/2 Medicaid Recertification Outstanding Percentage (Pending Recerts) As of COB 3/2 **Note: 6 counties closed early on Feb. 24th due to inclement weather. Hoke70%60%25%191% Wake*^88%75%54%138% Mecklenburg*^94%29%34%282% Pamlico67%25%14%114% Scotland*90%60%15%131% Avery86%45%13%85% Davie88%13%30%99% Forsyth*^91%30%42%84% Harnett88%5%19%187% Randolph*92%4%24%164% Rowan87%32%18%62% Union88%55%13%79% Wayne93%65%7%247% Cabarrus88%3%11%158% Cumberland^83%0%6%138% Hyde*29%0%20%72% Madison85%50%5%80% Moore86%11%15%70% Pender84%21%4%85% Robeson^85%3%2%134% Sampson91%18%1%118% Washington75%0%8%138%

33. 33 Draft 33 NC FAST Overall Schedule

34. 34 Draft Acronyms AcronymDefinition ACAAffordable Care Act BCCBreast and Cervical Cancer Medicaid BSFBusiness System Function CACash Assistance CHIPChild Health Insurance Program EISEligibility Information System (legacy system) F&CFamily and Children’s Medicaid FFMFederally-Facilitated Marketplace FNSFood and Nutrition Services HSFState Foster Home Fund ITSOffice of Information Technology Services MAFMedical Assistance to Families with Dependent Children MAF-DFamily Planning Waiver MAGIModified Adjusted Gross Income MCHIPMedicaid Child Health Insurance Program MFCFoster Care MICMedicaid for Infants and Children MQB-QMedicaid Qualified Medicare Beneficiary MQB-BMedicaid Specified Low Income Medicare Beneficiary MQB-EMedicaid Qualifying Individuals 1(QI1) NCHCNorth Carolina Health Choice RARefugee Assistance SASpecial Assistance SDXState Data Exchange TANFTemporary Assistance to Needy Families USDAUnited States Department of Agriculture WF/WFFAWork First/Work First Family Assistance Draft 34