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Health Insurance Exchange Project (HIX)

Health Insurance Exchange Project (HIX). PCC Planning Certification 1/18/12. HIX Agenda. Project Objectives Planning Phase Certification Funding and Budgets Next Steps. HIX Objectives. Create an integrated Health Insurance Exchange

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Health Insurance Exchange Project (HIX)

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  1. Health Insurance Exchange Project (HIX) PCC Planning Certification 1/18/12

  2. HIX Agenda • Project Objectives • Planning Phase Certification • Funding and Budgets • Next Steps

  3. HIX Objectives Create an integrated Health Insurance Exchange Meet the deadlines associated with Health Care Reform Requirements for PPACA HIX Support the Agency in streamlining applications; providing integrated screening, choice, coordination, eligibility and enrollment; aligning systems to support health plan selection; and aggregating payments to meet the projected enrollment of 55,000 in 2014, and up to 250,000 currently uninsured NM citizens in HIX between 2014 and 2020 Allow citizens to access services through a common portal via the internet, for online application completion, multiple program eligibility determination, and PPACA requirement verification Implement a modern technology that meets HSD business needs, is flexible to changing requirements, and is easily maintainable Create a single integrated solution built on an n-tier architecture

  4. Planning Phase Requesting certification for $832,252 Includes Project Management & IV&V Services Request for Proposal for procuring a Health Insurance Exchange System State Staff

  5. Project Funding & Budget In November 2011 New Mexico received Notice of Award for a Level I Health Insurance Exchange Establishment Grant to establish the New Mexico Health Insurance Exchange (NMHIX). A total of $34,279,483 in funding was received as part of Grant. A total of $23,950,000 of the Grant Funding has been established for the information technology portions of the HIX Project.

  6. Next Steps • Actions: • Issue RFP for HIX IT System • Apply for Level II Grant - March 2012 • Certify Implementation Phase • Execute Contract with selected Vendor • Procure IV&V Services • See slide 8 for project schedule

  7. HIX Schedule 12.27.11.pptx HIX Project Schedule 2012 2013 2013 Procurement Develop / Test Pilot Statewide 4th Qtr 5/1/2012 2/01/2012 1/1/2014 Release RFP HIX Open Enrollment VendorStart • Procurement • 30 Days on Street • 15 Days to Review • 15 Days Demo • 30 Days Contracting • Release RFP 2/1/2012 • Vendor Start 6/1/2012 • Develop and Test (12 mths) 9/1/2012 – 10/1/2013 • Pilot HIX Application 4th Qtr 2013 • Roll Out HIX 4th Qtr 2013 • Enroll into HIX 10/1/13 • HIX Statewide 1/1/2014

  8. Questions

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