1. DC Access System (DCAS)
HBX Executive Board Meeting
December 12, 2012

2. Contents
DCAS Background and Vision
DCAS Funding
Current IT Environment
DCAS Description
DCAS Implementation Timeline and Milestones
Status of DCAS Implementation
DCAS Governance
Next Steps

3. Background
The ACA requires states to establish a web portal to support Exchange functions, including:
Integrated eligibility applications for the Exchange and Medicaid (MAGI only)
Comparing and selecting health plans
Providing support and educating consumers
Before ACA, DC initiated a multi-tier effort to integrate government service delivery for residents, including:
Interagency data exchange legislation
Department of Human Services funded to implement integrated services, including case management
The DC Access System brings together these two initiatives to establish a single, streamlined solution for health and human services in the District.
DCAS integrated services vision developed by an interagency workgroup consisting of: DHCF, DHS, DISB, OCTO and DMH

4. DCAS Vision
DCAS will have a secure and modular technology infrastructure to provide state-of-the-art access to health and social benefits for District residents and employees.
Major Health and Human Services Programs in DCAS will include:
Medical Assistance: Medicaid and Health Care Alliance
Cash Assistance: Temporary Assistance for Needy Families (TANF), Program on Work, Employment and Responsibility (POWER), Interim Disability Assistance, Refugee Cash Assistance and General Assistance for Children
Food Stamps: Supplemental Nutrition Assistance Program (SNAP), Food Stamp Employment and Training (FSET)

5. DCAS Funding
Because of the broad vision of DCAS, the system implementation has multiple funding sources:

6. Implementation Approach
DCAS will be implemented in three releases that:
Allows ACA required functions to launch by October 1, 2013
Reduces the risk associated with implementation of a large, complex system
Release Descriptions
Release 1 (10/1/2013): Exchange and MAGI Medicaid
Release 2 (10/1/2014): Non-MAGI Medicaid, Alliance, and most federal human services programs
Release 3: District human services programs

7. Current IT Environment
What we have today…
To be replaced by DCAS
ACEDS (mainframe eligibility system)
Medicaid, SNAP, TANF and 9 others
20 years in production
Will retire at the end of Release 2
To be integrated with DCAS
DIMS (document management system)
MMIS (Medicaid payment system)
SERFF (commercial insurance management system)
Interface for insurers to submit rate and form filings for review and approval by state examiners

8. New IT Environment (DCAS)
Robust web portal for eligibility determination, health plan comparison, and case management
Multiple channels of communication to interact with applicants and consumers
Stream-lined business rules engine turning policy into eligibility rules
Integrated data management and reporting
Secure data interfaces with Federal and DC agencies

9. DCAS Operational Model

10. CCIIO and CMCS Requirements
DCAS Release 1 Milestones and Timeline
CCIIO and CMCS Requirements
December 2011
March 2012
January 2013
11/2011
APD Submitted
2/2012-5/2012
Requirements Gathering
8/2012
Level 2 Grant Submitted
1/2013
IT Design Review
1/2012
Launch Project K/O
3/2012
Planning Review
12/ /2013
Design Phase
2/ /2013
Build and Test Phases
8/2013
Implementation Review
Completed Activity
Future Activity
District Milestones

11. Release Schedule Options to recovery from 2 months delay:
Shifting the release of some communication channels to November and December
Gap analysis between DC requirements and other state’s implementing the same solution to determine which requirements can be pushed to other releases if not absolutely necessary
Concentrate vendor team physically to work with DC team

12. Status of DCAS Implementation
Summer 2011: High-level system planning completed by Cognosante through a contract with Mercer
Winter 2012: Business process flows developed and submitted to CMS for Eligibility and Enrollment, Plan Management, Financial Management, and SHOP
Spring 2012: Detailed requirements gathering completed for all three releases through a contract with Accenture
July 2012: A CMS approved RFP for a System Integration (SI) vendor to design, build, and implement DCAS was released
December 2012: SI Vendor contract award expected
Ongoing: Staff continue to work on DCAS planning efforts, such as the local data hub and system interfaces

13. Functional Development Underway
Development of business processes and business rules that will provide the foundation for DCAS is well underway for Exchange and non-Exchange functionality
Business process flows developed and submitted to CMS for Eligibility and Enrollment, Plan Management, Financial Management, and SHOP
Operational and policy questions that will inform DCAS business rules are currently under consideration
Preparing organizations for deployment
Change management
Training

14. DCAS Governance

15. Expand DCAS Project Management Office in advance of Design Phase
Next Steps
Expand DCAS Project Management Office in advance of Design Phase
Increase technical staff to coordinate with System Integration vendor and DC program staff
Launch OCTO local data hub implementation
Hire additional contract staff to support project
On-board system integration vendor – Begin requirements confirmation and design