Appendix F Transition Plan Hawai ihealthconnector ExtendedServicesTransitionPlan AUGUST28,2015 201 Merchant Street, Suite 1630, Honolulu HI 96813
Contents ExecutiveSummary...3 Background...5 ExtendedServicesTransitionPlan(Plan)...6 DelegationandTransitionofExchangeFunctions...13 Appendices...15
ExecutiveSummary See See See
Background willnot See
ExtendedServicesTransitionPlan(Plan) Extended Services Three Phase Transition SeeCCIIO:Section1332:StateInnovationWaivers (https://www.cms.gov/cciio/programsandinitiatives/stateinnovation Waivers/Section_1332_State_Innovation_Waivers.html#Aboutthe1332StateInnovationWaiverApplication Process) See
Phase 1: Key Agreements Signed & Initial Transition Activities (June 2015 through October 2015) Phase 2: Extended Services (November 2015 through April 2016) limitedsupport
o o o o o o Phase 3: Final Wind Down of Connector Activities (May 2016 through October 2016) o o o
Connector Services
2015 2016 Month July August September October November December January February March April May June JulyOct. SHOPEnrollment Systemdevelopment(1) Appeals(SHOP) PlanManagement,Qualified HealthPlan&QualifiedDental PlanCertifications(2) DenialProcessing CMSReporting IRSReporting ChangeinCircumstance SpecialEnrollments EligibilityDeterminations Verifications EligibilityRedeterminations TaxCreditEligibility TerminationsofCoverage Noticing IRS1095AForms Appealsfor2015PlanYear Complaints&Escalations TechnologyArchived Privacy&Security ContactCenterSupportfor PlanYear2015 ContactCenterIntakeofnew MedicaidApplications ContactCenterKkuaHotline Outreach(Navigator) Outreach(MAO) OutreachTraining&Support SMETransitionSupport FinancialStatement&A133 Audit(FY2015) FinancialStatement&A133 Audit(FY2016) ProgramAudit&oversight Review Audits&Oversight SMARTReporting Administrativeduties (1)SystemdevelopmentincludesimplementationofrequiredsystemfunctionalityforExchangesystems,includingdevelopmenttofixeligibilityandenrollmentdefects,VLPsteps2&3, andv33implementationandanyfurthertesting(e.g.,disasterrecovery,834boundarytesting,andirsreporting)(2)connectordelegates 155.1000155.1080totheDCCA
Financial Plan
o o o o o o o
o o Staff Reductions Original Plan Date (June 5, 2015) 33 July 1, 2015 30 August 1, 2015 30 September 1, 2015 29 October 1, 2015 25 November 1, 2015 25 December 1, 2015 23 January 1, 2016 19 February 1, 2016 13 March 1, 2016 11 April 2, 2016 11 May 1, 2016 7 June 1, 2016 6 July 1, 2016 6 August 1, 2016 5 September 1, 2016 5 October 1, 2016 5 November 1, 2016 0 DelegationandTransitionofExchangeFunctions
Oversight and Monitoring