Milestones, Measures and Oversight Exchange Board appointees JUL - PowerPoint PPT Presentation

C4HC TIMELINE 11 x 16.433.qxp_C4HC 11 x 16.433 12/7/14 9:07 AM Page 1 Milestones, Measures and Oversight Exchange Board appointees JUL 2011 meet for the first time 2010 General Assembly MAY passes Senate Bill 11 -200 DEC AUG JANUARY - APRIL MARCH > $1M Planning Grant Affordable Care Act passed Board JUN awarded to State to approves Exchange support planning activi- JULY-OCTOBER 1st Level Board elects ties for creating a state- Statewide stakeholder and One grant Gretchen based Exchange community forums held about application Governor Hammer creating a state health insurance for $17.9 M John Hickenlooper as Chair > New Planning Director Marketplace (also known as an signs SB11-200 works with legislators to Exchange) into law pass enabling legislation; four stakeholder advisory OCTOBER groups created to sup- Groups recommend the Market- port planning efforts place as a quasi-public entity with high level of public accountability MIL LE ESTO ON NE ES A AN ND D M ME EAS SU UR RE ES OV VE ER RS SI IG GH HT T > Inaugural meeting Legislative Health DEC Benefits Exchange Implementation > Dec. 7 - LIRC Review Committee (LIRC) approves Patty Fontneau as > Exchange Board Chair presents to LIRC first CEO > Dec. 15 - LIRC approves 1st Level One grant AUG application

C4HC TIMELINE 11 x 16.433.qxp_C4HC 11 x 16.433 12/7/14 9:07 AM Page 2 Milestones, Measures and Oversight 2012 SEPT NOV FEB DEC MAR AUG Federal govt. 2nd Level One > Conditional JAN- approves 1st grant approved approval Level One FEB Key contractors from HHS grant hired for project to open a Exchange management state-based Financial and applies for and technology Exchange organizational 2nd Level build policies established One grant > Began for $43M developing long-term revenue model Exchange grows from 5 to 18 employees, plus contractors MIL LE ESTO ON NE ES A AN ND D M ME EAS SU UR RE ES OV VE ER RS SI IG GH HT T JUL Exchange presents to LIRC LIRC approves application DEC AUG for 2nd Level One grant Independent JUL- CMS/CCIIO/OIS Federal on > Independent Financial Audit Verification and AUG- SEPT site planning review > Independent Single Federal audit Validation Audit OCT (compliance OMB A-133) and Review (IV&V) #1 begins

C4HC TIMELINE 11 x 16.433.qxp_C4HC 11 x 16.433 12/7/14 9:07 AM Page 3 Milestones, Measures and Oversight > 55 organizations chosen as Assis- MAY tance Network DEC 2013 > Launch statewide marketing campaign > HB 13-1245 passes with broad OCT carrier assessment and funding FEB > Customer Service mechanisms for long-term Center has handled AUG APR sustainability 100,000+ calls and > Application for Level 2 grant 20,000+ online > Board chooses submitted > 8am Oct. 1: chats JAN- > 1,100+ name “Connect for Connect for > Statewide outreach OCT Health Colorado” agents/ > Technology test- Health Col- tour to 20 cities & > Long-term revenue brokers ing under way orado first towns with branded model presented and 200+ > Receive 70 Open Enroll- RV Aggressive > Statewide Request Health applications ment period > Federal government planning and Coverage for Applications for Assistance begins JUL extends deadlines development sent for Assis- Guides Network to apply for 2014 begin tance Network > 70,000 coverage certification > $116M Level 2 Grant approved unique visi- > 52,000+ Coloradans training > $2M grant approved from the tors on day registered for cover- Construction of a new Customer Service Colorado Health Foundation to one age, with nearly half Center in Colorado Springs support Assistance Network not receiving financial funded by Federal grants assistance MIL LE ESTO ON NE ES A AN ND D M ME EAS SU UR RE ES OV VE ER RS SI IG GH HT T Monthly Grant IV&V Audit CMS/CCIIO/OIS Overviews for Level 1 IV&V Audit JUL and Review on-site Detailed IV&V Audit and Level 2 grants and Review #2 #4 begins Design Review > Present OCT NOV and Review MAY begins AUG begins financial plan #5 begins to LIRC — DEC > CMS/CCIIO/OIS Approved > CMS Financial Consultation > Present long-term JUL- FEB- on-site Imple- and Sustainability sustainability plan NOV APR mentation and > Receive Review begins to LIRC Operational MAR Independent > CMS Oversight and Readiness Review CMS/IRS Security Assessment Monitoring Review > LIRC approves Level AUG- > Presentation to LIRC Privacy and and Penetration begins APR- 2 grant application SEPT > Independent Security Testing Reports > CMS Service Center JUN Financial Audit Review > Monthly Grant Overviews for Operations Review > IV&V Audit and Level 1 and Level 2 grants > Monthly Grant Review #3 begins > Independent Sin- SEPT Overviews for Level 1 gle Federal Audit Federal officials on site for CMS/CCIIO/OIS and Level 2 grants (compliance Final Detailed Design Review OMB A-133)

C4HC TIMELINE 11 x 16.433.qxp_C4HC 11 x 16.433 12/7/14 9:07 AM Page 4 Milestones, Measures and Oversight MAY- Stakeholder and customer input sought for system improvements SEPT DEC 2014 Next build of Marketplace systems under way and testing begins JAN- Board member Additional technology David Padrino Board member APR and operational features, replaces Kevin Richard Betts steps OCT including payment, Marketplace carriers Patterson as down; Davis Fansler reconciliation and apply to DOI for 2015 Governor’s Office appointed MAY appeals processes health plan certification ex-officio member being implemented Interim CEO JAN- > Board approves FY15 Gary Drews AUG MAR budget and Carrier appointed NOV Assessment for 2015 JUN > Board approves 1.4% MAR > Sharon O’Hara appointed 2015 Enrollment administrative fee for as new chair events con- 2015 Marketplace SEPT > Marketplace ‘soft tinue across launch’ with shared > Enollments continue to Board member the state > Five walk-in centers eligibility system up grow at 4,000/month JUL Gretchen Ham- open in metro Denver through end of 2014 DOI approves mer steps down > 2015 Open Enroll- > More than 141,000 2015 plans JAN to become > Mar rc ch h 3 31 1 - - ment begins with a covered lives enrolled and rates Director for Op O pe en n E En nr ro ol ll lm me en nt t choice of 176 plans through Marketplace State Medicaid o of ff fi ic ci ia al ll ly y e en nd ds s from 10 carriers by end of July Office > Patty Fontneau > 13 walk-in Enrollment Open announces departure Teams build Shared Eligibility Service to Enrollment Centers open for the private sector FEB simplify financial application process ends MIL LE ESTO ON NE ES A AN ND D M ME EAS SU UR RE ES OV VE ER RS SI IG GH HT T Presentation Presentation OIG/HHS on-site CMS/CCIIO on- Connect for OIG/HHS Eligibility, > Legislative Audit > Semi-annual report on Financial and Per- site Financial and Level 2 Grant to Senate HHS to LIRC Health Colorado Enrollment, and Committee reviews JAN OCT formance Audit and Performance Audit presentation to Information System State audit Review begins and Review begins > Operational Plan Legislative Imple- Audits begin approved by LIRC mentation Review > Independent financial Committee audit begins APR JUL > OIG/HHS on-site Financial MAR AUG CMS Shared and Performance audits SEPT NOV Application & continue Eligibility Design Review begins > Independent Single DEC Federal Audit begins JA AN N- -S SE EP PT T - - St ta at te e A Au ud di it to or rs s c co on nd du uc ct t 9 9- -m mo on nt th h a au ud di it t pr ro oc ce es ss s (compliance OMB A-133)